Kvaskova I V, Shvarkov S B
Zh Nevrol Psikhiatr Im S S Korsakova. 1999;99(1):15-7.
100 case records of children aged 2.5 to 15 years with main complaints of headache (HA) examined and treated in Children's Neurologic Department were analyzed. For making the diagnosis more precise, diagnostic criteria of International Society for HA Investigation (1988) were used. Migraine was diagnosed in 25 children (10 boys, 15 girls), the age of its debute was from 2.5 to 13 years. Migraine with aura was found in 36% of the children. Clinical picture of the attack was characterized by polymorphism, the HA attacks were more severe, but shorter, than in adults. HA attacks were arrested quite frequently by sleep or rest without any drugs. Hereditary analysis revealed migraine in 36% of the parents. CNS damage was found in the anamneses of 64% of the patients, a closed craniocerebral trauma in 40% of the cases. Clinical and neurophysiologic study didn't reveal any specific disturbances, though pronounced psychoautonomic disorders were quite frequent in children with migraine.
对儿童神经科检查并治疗的100例以头痛（HA）为主诉的2.5至15岁儿童的病例记录进行了分析。为了使诊断更精确，采用了国际头痛研究协会（1988年）的诊断标准。25名儿童（10名男孩，15名女孩）被诊断为偏头痛，其初次发病年龄为2.5至13岁。36%的儿童患有伴有先兆的偏头痛。发作的临床表现具有多态性，与成人相比，HA发作更严重，但持续时间更短。HA发作经常通过睡眠或休息而无需任何药物就能停止。遗传分析显示36%的父母患有偏头痛。64%的患者既往史中有中枢神经系统损伤，40%的病例有闭合性颅脑外伤。临床和神经生理学研究未发现任何特异性障碍，尽管偏头痛儿童中明显的精神自主神经障碍相当常见。
