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A Boy With Sudden Headache

Norbedo, Stefania MD*; Naviglio, Samuele MD; Murru, Flora Maria MD*; Cavallin, Roberta MD; Giurici, Nagua MD*; Rabusin, Marco MD*; Barbi, Egidio MD*


In the article that appeared on page 182 of the March 2014 issue, the affiliation listed for Samuele Naviglio and Roberta Cavallin was incorrect. The affiliation is University of Trieste, Trieste, Italy.

Pediatric Emergency Care. 30(4):235, April 2014.

doi: 10.1097/PEC.0000000000000090
Illustrative Cases

Headache 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.

From the *Institute for Maternal and Child Health IRCCS “Burlo Garofolo;” and †Azienda Ospedaliero-Universitaria, University of Trieste, Trieste, Italy.

Disclosure: The authors declare no conflict of interest.

Reprints: Samuele Naviglio, MD, University of Trieste, Via dell’Istria 65/1, 34100 Trieste, Italy (e-mail:

© 2014 Lippincott Williams & Wilkins, Inc.