Maytal J, Lipton R B, Solomon S, Shinnar S
Department of Neurology, Montefiore Medical Center, Bronx, New York.
Headache. 1992 Jun;32(6):275-9. doi: 10.1111/j.1526-4610.1992.hed3206275.x.
Cluster headaches are rare in childhood. We identified 35 patients with cluster headaches starting at or before 18 years of age, including 7 patients with onset prior to age 10. All patients met the criteria of the International Headache Society for episodic or chronic cluster headaches. Patients experienced cluster headaches for as long as 20 years before seeking medical attention and required many medical contacts to establish the correct diagnosis. The clinical features of cluster headaches during childhood were similar to those which typically occur in adult life. Cluster headache patterns changed over 18 years of follow up. The frequency and duration of cluster periods increased in 14 subjects. The frequency of single headache attacks during cluster periods also increased in a similar number of subjects. We conclude that cluster headaches starting in childhood or adolescence closely resemble the adult form of the disease. In many patients, the frequency and duration of cluster periods and the frequency of the individual headache episodes increased over time. Cluster headache represent a treatable under-recognized cause of severe headaches in childhood and adolescence.
丛集性头痛在儿童期较为罕见。我们确定了35例在18岁及以前开始出现丛集性头痛的患者，其中7例在10岁之前发病。所有患者均符合国际头痛协会关于发作性或慢性丛集性头痛的标准。患者在寻求医疗帮助之前经历丛集性头痛长达20年，并且需要多次就医才能确诊。儿童期丛集性头痛的临床特征与成年期通常出现的特征相似。在18年的随访中，丛集性头痛模式发生了变化。14名受试者的丛集期频率和持续时间增加。类似数量的受试者在丛集期单次头痛发作的频率也增加。我们得出结论，儿童期或青少年期开始的丛集性头痛与成人形式的疾病非常相似。在许多患者中，丛集期的频率和持续时间以及个体头痛发作的频率随时间增加。丛集性头痛是儿童期和青少年期严重头痛的一种可治疗但未得到充分认识的病因。
