This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Distinguishing Features

Paul J. Honig, MD; Edward B. Charney, MD

Am J Dis Child. 1982;136(2):121-124.

Abstract
• We analyzed the history, physical examination findings, and skull roentgenograms of 72 children with headaches secondary to brain tumors to determine distinguishing features. Of 56 children, skull roentgenograms were abnormal in 54% (30). Abnormal findings from either the neurologic or ocular examination were present in 68 (94%) of these children at the time of brain tumor diagnosis. These abnormalities developed in 51 of 60 children (85%) within two months of the onset of their headaches. Clues for earlier diagnosis were frequently present in those patients whose conditions were diagnosed more than four months after the onset of their headaches. Recognition of those findings could have resulted in the diagnosis of brain tumor in 69 of 72 children (96%) within four months of the onset of headaches. During the first four months of headache complaints, children should be monitored closely.

(Am J Dis Child 1982;136:121-124)

Author Affiliations
From the Department of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania, School of Medicine.

Footnotes
Reprint requests to Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104 (Dr Honig).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Brain Tumors in Children: Initial Symptoms and Their Influence on the Time Span Between Symptom Onset and Diagnosis
Reulecke et al.
J Child Neurol 2008;23:178-183.
ABSTRACT  

Children With Headache Suspected of Having a Brain Tumor: A Cost-Effectiveness Analysis of Diagnostic Strategies
Medina et al.
Pediatrics 2001;108:255-263.
ABSTRACT | FULL TEXT  

Cavernous Angioma Presenting as Atypical Facial and Head Pain
Epstein et al.
J Child Neurol 1990;5:27-30.
ABSTRACT  

Vomiting as a Presenting Sign: A Gastroenterologist 's Perspective
Squires
CLIN PEDIATR 1989;28:351-354.
ABSTRACT