Pediatric headache: embryonic tumor. Case report.

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Jose Miguel Suescun-Vargas
Jairo Alejandro Gaitán-Alfonso
Angélica Leonor Durán-Lara
Monica Paola Gutierrez Gaitan
Andrea Donoso-Sampe
Javier Yesid Pinzon-Salamanca

Abstract

Introduction: The headache corresponds to 0.7-6.0% of pediatric emergency room consults. The pediatrician's challenge is to rule out or identify the secondary causes of headaches. Case report: 7-year-old patient consults for a holocranial headache of 15 days, who has lateralized to the left in the last seven days with pain increase, and occasionally the pain awakens her during sleep. On the physical examination, right papilledema was found, without other findings. The magnetic resonance evidenced a massive embryonic tumor of the central nervous system with a fusiform pattern with compressive effect and deviation of the midline. She required neurosurgical management, chemotherapy, and radiotherapy. Conclusions: The diagnostic approach to the headache is critical. The anamnesis must be structured, and the pediatrician should classify the headache according to its pattern. The physical examination should include analyzing the vital signs, general examination, and a neurologic evaluation with particular emphasis on the fundoscopy. The headache's diagnostic approach is based on a structured anamnesis, ruling out secondary causes. The physical examination should be meticulous and find neurological signs. In this case, the key features were the night awakening because of the pain and the papilledema.

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How to Cite
Suescun-Vargas, J. M., Gaitán-Alfonso, J. A., Durán-Lara, A. L., Gutierrez Gaitan, M. P., Donoso-Sampe, A., & Pinzon-Salamanca, J. Y. (2022). Pediatric headache: embryonic tumor. Case report. Pediatría, 55(1), 40–45. https://doi.org/10.14295/rp.v55i1.297
Section
Case report

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