Headaches – Primary Steps for Primary Care


The start of the school year is just around the corner, and we frequently see an increase in calls regarding headaches around this time. We want to take this opportunity to review some basic steps in diagnosing and treating headaches. Nearly 10 percent of children have frequent or recurrent headaches. While this is a significant … Continue reading Headaches – Primary Steps for Primary Care

Concussion – Primary Steps for Primary Care


A concussion is a trauma-related pathophysiological process that affects the neurometabolic function of the brain. Concussions are quite prevalent; the CDC reports 3.8 million sport-related brain injuries occur annually. It is estimated in middle school and high school children, up to 20% of children have suffered a concussion. In the majority of patients, post-concussive symptoms … Continue reading Concussion – Primary Steps for Primary Care

Chiari I Malformations – Primary Steps for Primary Care


Anxiety related to unexpected abnormal findings disclosed by imaging studies obtained during workup of headache or trauma is a frequent reason for referral to neurosurgery. A frequent incidental imaging finding is a Chiari I malformation, i.e., the presence of low-lying cerebellar tonsils, usually unaccompanied by other significant imaging findings. While the estimated prevalence of Chiari malformations is … Continue reading Chiari I Malformations – Primary Steps for Primary Care