儿童和青少年的慢性非进行性头痛。

Chronic nonprogressive headaches in children and adolescents.

作者信息

Rothner A D, Linder S L, Wasiewski W W, O'Neill K M

机构信息

Department of Pediatric Neurology, The Cleveland Clinic Foundation, OH 44195, USA.

出版信息

Semin Pediatr Neurol. 2001 Mar;8(1):34-9. doi: 10.1053/spen.2001.23330.

DOI:10.1053/spen.2001.23330

PMID:11332864

Abstract

Chronic nonprogressive headaches (CNPHA) are common in children and increase in frequency in adolescents. Features are usually, but not always, distinct from those of migraine. CNPHA have also been called chronic daily headaches, tension-type headaches, muscle contraction headaches, and psychogenic headaches. These headaches represent a diagnostic and therapeutic challenge to family physicians, pediatricians, and pediatric neurologists. The evaluation is time-consuming and the treatment frustrating and often unsuccessful. They are a significant cause of school absences. This review addresses the epidemiology classification, pathogenesis, clinical characteristics, evaluation, and treatment of this disorder.

摘要

慢性非进行性头痛（CNPHA）在儿童中很常见，在青少年中发病率增加。其特征通常（但并非总是）与偏头痛不同。CNPHA也被称为慢性每日头痛、紧张型头痛、肌肉收缩性头痛和心因性头痛。这些头痛对家庭医生、儿科医生和儿科神经科医生来说是诊断和治疗上的挑战。评估耗时，治疗令人沮丧且往往不成功。它们是学校缺勤的一个重要原因。本综述探讨了这种疾病的流行病学、分类、发病机制、临床特征、评估和治疗。