A boy with sudden headache

Headache is a common presenting complaint in pediatric emergency departments. The goal of emergent evaluation is to identify those children with potentially life-threatening conditions. We present the case of an adolescent boy presenting with headache and hypertension who was diagnosed with a catech...

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Bibliographic Details
Published inPediatric emergency care Vol. 30; no. 3; p. 182
Main Authors Norbedo, Stefania, Naviglio, Samuele, Murru, Flora Maria, Cavallin, Roberta, Giurici, Nagua, Rabusin, Marco, Barbi, Egidio
Format Journal Article
LanguageEnglish
Published United States 01.03.2014
Subjects
Abdominal Neoplasms - complications
Abdominal Neoplasms - diagnosis
Adolescent
Emergencies
Headache - etiology
Humans
Male
Paraganglioma - complications
Paraganglioma - diagnosis
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Summary:Headache is a common presenting complaint in pediatric emergency departments. The goal of emergent evaluation is to identify those children with potentially life-threatening conditions. We present the case of an adolescent boy presenting with headache and hypertension who was diagnosed with a catecholamine-secreting abdominal paraganglioma. Genetic testing eventually led to the diagnosis of SDHB-related hereditary paraganglioma-pheochromocytoma syndrome. Alarm features ("red flags") in children presenting with headache are reviewed, as well as the main features of paragangliomas and the indications for genetic testing.
ISSN:1535-1815
DOI:10.1097/PEC.0000000000000090