DÄ internationalArchive4/2009Pain Therapy in Children and Adolescents: Mention the Ophthalmologist

Correspondence

Pain Therapy in Children and Adolescents: Mention the Ophthalmologist

Dtsch Arztebl Int 2009; 106(4): 55. DOI: 10.3238/arztebl.2009.0055b

Schmidtborn, F

LNSLNS The simplified and reduced list of causes of headache in children is desirable as a superficial CME measure but will convey the wrong idea.

In my practice area, the pediatricians refer almost all children with headache to an ophthalmologist. The proportion of children with real migraine seems rather smaller than that of children with hidden phorias or hyperopias. There are also more children with bruxism. Unless all these children are meant to be subsumed under the label "tension headache." Perhaps the selection is also a consequence of the authors' selected patient cohort, in which case diagnostic parameters should at least include a mention of presenting to an ophthalmologist. DOI: 10.3238/arztebl.2009.0055b


Dr. med. Frank Schmidtborn
Bahnhofstr. 33, 71332 Waiblingen, Germany
schmidtborn@t-online.de

Conflict of interest statement
The author declares that no conflict of interest exists according to the guidelines of the International Committee of Medical Journal Editors.
1.
Zernikow B, Hechler T: Schmerztherapie bei Kindern und Jugendlichen. Dtsch Arztebl 2008; 105(28, 29): 511–22. VOLLTEXT
1. Zernikow B, Hechler T: Schmerztherapie bei Kindern und Jugendlichen. Dtsch Arztebl 2008; 105(28–29): 511–22. VOLLTEXT