Headache is a common complaint among children and adolescents presenting in neurology clinics. The vast majority are primary headaches like migraine. How do you find the elusive 5-10% who have a secondary headache disorder and require urgent management? In this webinar, we aim to review pediatric secondary headaches and cranial neuralgias that must not be missed, their clinical and associated features, diagnostic work-up and management. Our presentation will focus on 1) providing a systematic evaluation for red flags associated with secondary headache disorders; 2) CSF pressure-related headaches such as idiopathic intracranial hypertension with emphasis on the treatment of fulminant intracranial hypertension; and post-dural puncture headache and spontaneous intracranial hypotension; 3) cases of vascular or genetic vasculopathy causing headaches that can present with ominous symptoms such as RCVS and moya-moya in sickle cell disease and 4) review of trigeminal and other cranial neuralgias and its medical and procedural management. Our hope is to equip clinicians taking care of children and adolescents with headaches with the knowledge to distinguish primary from secondary headaches and cranial neuralgias. Taking this knowledge back to the clinical practice will lead to appropriate and timely work-up and treatment that can prevent serious and potentially life-changing outcomes.
M. Cristina C. Victorio, MD, FAAN, FAHS
Associate Professor of Pediatrics
Northeast Ohio MedicalUniversity
Dr. Victorio is on the faculty in the Division of Neurology at the NeuroDevelopmental Science Center at Akron Children’s Hospital. She is a UCNS certified headache specialist and the director of the headache program of Akron Children’s that includes a multidisciplinary headache clinic and a headache infusion center. She has served as a site primary investigator on multiple clinical research trials in migraine treatment. She is involved in the AAN pediatric migraine treatment guidelines and headache quality measures development; and serves on committees for the AAN and the CNS.
Shawn C. Aylward, MD
Associate Professor of Pediatrics
The Ohio Statue University School of Medicine and Nationwide Children’s Hospital
Dr. Aylward is the director of the Pediatric Intracranial Hypertension clinic at Nationwide Children’s; a multidisciplinary clinic which includes team members from the specialties of psychology, dietary, neurology and ophthalmology. This work has allowed him to focus his research on studying this rare disorder, contributing to the body of literature from a pediatric perspective. He is actively involved in resident and fellow education through precepting and focused skills labs on the neurologic, lumbar puncture and fundoscopic exams. He also devotes a portion of his time to headache as the department section head for headache and faculty for the headache fellowship.
He has served in various positions within CNS and Pediatric Neurology most recently as associate editor.
Megan Barry, DO
Assistant Professor of Pediatrics (Neurology and Epilepsy), Northwestern University Feinberg School of Medicine
Dr. Barry is on faculty in the Division of Neurology at Lurie Children’s Hospital in Chicago, IL where she is part of the Neurocritical Care team and Neurovascular Program. She dual boarded in Child Neurology and Vascular Neurology. She participates in the International Pediatric Stroke Study and is an active member of IPSO, where she co-chairs the bi-monthly educational conferences. She has served as a PI for various past and current pediatric stroke studies. Her main research interest is in hyperacute treatment for pediatric ischemic stroke.
Alma Bicknese, MD
Associate Professor of Pediatrics
Northwestern University in Chicago and Ann and Robert E Lurie Childrens Hospital
Dr. Bicknese is the director of the Pediatric Headache Program which includes a multidisciplinary headache clinic and inpatient program and is affiliated with the headache fellowship centered in the Ken and Ruth Davee Department of Neurology at Northwestern Hospital. She has served as a site PI for multiple clinical research trials in migraine and other neurological disorders. She as served in various positions within the AAN, CNS and American Headache Society. Dr. Bicknese career goals include working both within the Northwestern medical community and within the national and international child neurology community to advance Headache understanding and practice.