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The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines
Acta clinica Croatica, 53. (2014), 4.; 449-454. urn:nbn:hr:184:023334
Prpić, Igor; Ahel, Tea; Rotim, Krešimir; Gajski, Domagoj; Vukelić, Petar; Sasso, Antun

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Prpić, I., Ahel, T., Rotim, K., Gajski, D., Vukelić, P. & Sasso, A. (2014). The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines. Acta clinica Croatica, 53.. (4.), 449-454. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:023334

Prpić, Igor, et al. "The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines." Acta clinica Croatica, vol. 53., no. 4., 2014, pp. 449-454. https://urn.nsk.hr/urn:nbn:hr:184:023334

Prpić, Igor, Tea Ahel, Krešimir Rotim, Domagoj Gajski, Petar Vukelić and Antun Sasso. "The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines." Acta clinica Croatica 53., no. 4. (2014): 449-454. https://urn.nsk.hr/urn:nbn:hr:184:023334

Prpić, I., et al. (2014) 'The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines', Acta clinica Croatica, 53.(4.), pp. 449-454. Available at: https://urn.nsk.hr/urn:nbn:hr:184:023334 (Accessed 12 January 2025)

Prpić I, Ahel T, Rotim K, Gajski D, Vukelić P, Sasso A. The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines. Acta clinica Croatica [Internet]. 2014 December 01 [cited 2025 January 12];53.(4.):449-454. Available at: https://urn.nsk.hr/urn:nbn:hr:184:023334

I. Prpić, T. Ahel, K. Rotim, D. Gajski, P. Vukelić and A. Sasso, "The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines", Acta clinica Croatica, vol. 53., no. 4., pp. 449-454, December 2014. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:023334. [Accessed: 12 January 2025]

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Metadata
Title (english)The Use of Neuroimaging in the Management of Chronic Headache in Children in Clinical Practice Versus Clinical Practice Guidelines
Title (croatian)Neuroslikovne pretrage u djece s kroničnom glavoboljom u kliničkoj praksi
AuthorIgor Prpić
AuthorTea Ahel
AuthorKrešimir Rotim
AuthorDomagoj Gajski
AuthorPetar Vukelić
AuthorAntun Sasso
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Pediatrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Abstract (english)
In daily practice, neuroimaging studies are frequently performed for the management of childhood headache. The aim of this study was to determine whether there is significant discrepancy between clinical practice and clinical practice guidelines on the indications for neuroimaging studies. Medical records of children with chronic headache, aged 2 to 18 years and treated at Rijeka University Hospital Center, Kantrida Department of Pediatrics, were retrospectively reviewed. Indications for brain magnetic resonance imaging and computed tomography (MRI/CT) scanning were reviewed and compared with clinical practice guidelines. Brain imaging was performed in 164 (76.3%) of 215 children, MRI in 93 (56.7%) and CT in 71 (43.3%) children. Indications for brain MRI/CT were as follows: anxiety and/or insistence by the child’s family (71.3%), presence of associated features suggesting neurologic dysfunction (13.4%), age under 5 years (12.8%) and abnormal neurologic examination (2.4%). The majority of children (71.4%) had normal neuroimaging findings. In the rest of imaging studies (28.1%), MRI/CT revealed different intracerebral/extracerebral findings not influencing changes in headache management. Only one (0.60%) patient required change in headache management after MRI/CT. Study results proved that, despite available evidence- based clinical guidelines, brain imaging in children with chronic headaches is overused, mostly in order to decrease anxiety of the family/patient.
Abstract (croatian)
Cilj rada bio je utvrditi postoji li značajan nesrazmjer između kliničke prakse i kliničkih smjernica u svezi indikacija za provođenje neuroslikovnih pretraga u djece s kroničnom glavoboljom. Analizirana je medicinska dokumentacija djece s kroničnom glavoboljom u dobi od 2 do 18 godina liječene u Kliničkom bolničkom centru Rijeka, Klinika za pedijatriju “Kantrida”. Indikacije za provođenje magnetske rezonancije i kompjutorizirane tomografije (MR/CT) mozga uspoređene su s indikacijama preporučenim u smjernicama. MR je učinjen u 93 (56,7%) djece, a CT u 71 (43,3%) djeteta, ukupno u 164 (76,3%) od 215 djece. Indikacije za MR/CT mozga bile su: tjeskoba i/ili inzistiranje obitelji (71.3%), prisutnost pridruženih simptoma koji su ukazivali na neurološki poremećaj (13.4%), djeca mlađa od 5 godina (12,8%) i promijenjen neurološki status (2,4%). U većine djece (71,4%) nalaz MR/CT bio je uredan. U ostalim MR/CT nalazima opisane su intra-/ekstracerebralne promjene koje nisu utjecale na promjene u terapijskom pristupu (28,1%). U samo jednog djeteta (0,60%) promijenjen je terapijski pristup nakon provedene neuroslikovne pretrage. Ovo ispitivanje dokazuje da se, unatoč dostupnim kliničkim smjernicama, neuroslikovne pretrage mozga u djece s kroničnim glavoboljama prekomjerno provode, uglavnom s ciljem umanjivanja tjeskobe roditelja i/ili zbog njihovog inzistiranja da se iste učine.
Keywords (english)
Keywords (croatian)
Languageenglish
Publication typeProfessional paper - Professional paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 53., no. 4., pp. 449-454
p-ISSN0353-9466
e-ISSN1333-9451
URN:NBNurn:nbn:hr:184:023334
Publication2014-12-01
Document URLhttps://hrcak.srce.hr/136781
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2018-05-21 13:24:53