Singer H S, Rowe S
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Pediatr Ann. 1992 Jun;21(6):369-73. doi: 10.3928/0090-4481-19920601-09.
Chronic recurrent headaches in children can be classified into distinct categories based on a careful history and physical examination. Migraine and muscle contraction headaches are common in the pediatric population. Laboratory studies should be limited to those individuals who have other signs or symptoms accompanying headaches that raise concern. Reassurance about the underlying pathophysiology of vascular or muscle contraction headaches, their benign nature, and favorable prognosis may not only relieve associated anxiety that may produce or prolong headache, but also may relieve the headache itself. Symptomatic mild analgesics and behavioral medicine therapy are often sufficient, although occasionally prophylactic pharmacotherapy is required. The long-term prognosis for children with chronic recurrent headaches is generally favorable.
儿童慢性复发性头痛可根据详细的病史和体格检查分为不同类型。偏头痛和肌肉收缩性头痛在儿科人群中很常见。实验室检查应仅限于那些伴有其他体征或症状、引起担忧的头痛患儿。就血管性或肌肉收缩性头痛的潜在病理生理学、其良性性质及良好预后给予安慰，不仅可以缓解可能导致或延长头痛的相关焦虑，还可能缓解头痛本身。对症使用轻度镇痛药和行为医学疗法通常就足够了，尽管偶尔需要预防性药物治疗。慢性复发性头痛患儿的长期预后总体良好。
