{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:41:20Z","timestamp":1761561680324,"version":"3.44.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"2728","license":[{"start":{"date-parts":[[2012,7,1]],"date-time":"2012-07-01T00:00:00Z","timestamp":1341100800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>BACKGROUND  AND STUDY PURPOSE: High  resolution imaging modalities and electroencephalographic studies (EEG) are  used in the assessment of children with headaches. We evaluated the role of  cerebral MRI (cMRI) and EEG in the initial assessment of children with headache  as the chief complaint of initial presentation.\n        METHODS: A retrospective chart analysis was  performed at a tertiary University Hospital.\n        RESULTS: 209 patients were included in this  study [mean age 11.3 years; male 91 (43.5%); female 118 (56.5%)]. The following  types of headaches were seen: Unclassified headache: 23.4%; probable migraine  17.2%, migraine without aura 13.4%, complicated migraine 12.4%, migraine with  aura 1.0%; tension-type 15.3%, and cluster headaches 0.5%, and secondary headaches  16.7%. In 93 children (44.5%) abnormal physical\/neurological findings were  noted (multiple entries possible). On cMRI studies the following findings were  seen: Infection of sinuses (7.2%), pineal cysts (2.4%), arachnoidial cyst and  Chiari malformation (1.9%), unspecified signal enhancement (1.0%), and pituitary  enlargement, inflammatory lesion, angioma, cerebral ischaemia, and intra-cerebral  cyst (each 0.5%). Electroencephalographic findings included both focal and  generalised abnormal slowing (5.3%) and Spike-wave complexes (3.3%).\n        CONCLUSIONS: Despite abnormal findings on  neurological\/physical examination in a substantial number of children with  headaches, the yield of pathological cMRIs was low. The use of EEG recordings was not contributory  to the diagnostic and therapeutic approach. More research is needed to better  define those patients who are likely to have an intracranial pathology.<\/jats:p>","DOI":"10.4414\/smw.2012.13625","type":"journal-article","created":{"date-parts":[[2012,9,3]],"date-time":"2012-09-03T14:22:36Z","timestamp":1346682156000},"page":"w13625","source":"Crossref","is-referenced-by-count":9,"title":["Cerebral MRI and EEG studies in the initial management of pediatric headaches"],"prefix":"10.57187","volume":"142","author":[{"given":"Daniel","family":"Martens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Oster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Gottschlling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Papanagiotou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Ziegler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina","family":"Eymann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mei-Fang","family":"Ong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludwig","family":"Gortner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sascha","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"36756","published-online":{"date-parts":[[2012,7,1]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1521\/1926","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1521\/1927","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1521\/1926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T03:54:22Z","timestamp":1755230062000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1521"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,1]]},"references-count":0,"journal-issue":{"issue":"2728","published-online":{"date-parts":[[2012,7,2]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2012.13625","relation":{},"ISSN":["1424-3997"],"issn-type":[{"type":"electronic","value":"1424-3997"}],"subject":[],"published":{"date-parts":[[2012,7,1]]}}}