• Pediatric emergency care · Mar 2014

    Case Reports

    A boy with sudden headache.

    • Stefania Norbedo, Samuele Naviglio, Flora Maria Murru, Roberta Cavallin, Nagua Giurici, Marco Rabusin, and Egidio Barbi.
    • From the *Institute for Maternal and Child Health IRCCS "Burlo Garofolo;" and †Azienda Ospedaliero-Universitaria, University of Trieste, Trieste, Italy.
    • Pediatr Emerg Care. 2014 Mar 1;30(3):182-4.

    AbstractHeadache 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.

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