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Child having headache with swollen glands in neck. Should I be concerned?

Dec 2012
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General & Family Physician
Practicing since : 2012
Answered : 1694 Questions
My 12 y/o daughter has had a headache for over 2 months. It goes from mild to severe several times a day but never goes away. Her left eye droops a bit and she has swollen glands in her neck on the left side with no cold symptoms at all
Posted Sun, 1 Dec 2013 in Child Health
Answered by Dr. Nsah Bernard 3 hours later
Brief Answer: Viral meningitis can present as such Detailed Answer: Hello, Thanks for posting on XXXXXXX Though very rare, but viral meningitis or meningoencephalitis can present as you have described with viral lymphadenitis. Even though she does not present with meningismus (i.e signs of meningitis), it is still possible that she is suffering from miningitis and you will need to see a pediatrician as soon as possible. She will require a brain CT scan, lumbar puncture and blood tests in order to confirm or rule miningitis out. Another most likely cause of those symptoms is migraine headache. Her pediatrician needs to rule this out too. Very rarely she could be suffering from meningeal hemorrhage (but CT should rule that out too). Hope this helps and wish you the best. Dr. Nsah
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