Correspondence (letter to the editor): Mention the Ophthalmologist

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.