Vieira J P, Salgueiro A B, Alfaro M
Serviço de Neurologia, Hospital de Dona Estefânia, Lisboa, Portugal.
Cephalalgia. 2006 Oct;26(10):1220-4. doi: 10.1111/j.1468-2982.2006.01205.x.
Short-lasting headaches have been studied infrequently in children and it is not known if the main categories of primary headaches of this type in adults are applicable to children. We report our experience with a group of 20 children with a brief headache. Two patients had a secondary headache. One patient had a headache with some clinical characteristics of paroxysmal hemicrania. The remaining 17 had a very brief headache. They were in many aspects comparable to others from previous studies on idiopathic stabbing headache in children: no associated symptoms, no other associated headache, frequent family history of migraine. They differed, however, in the younger age of the patients and the more frequent extratrigeminal location of the pain. Extratrigeminal ice-pick pain may be a variant of idiopathic stabbing headache, more prevalent in young children.
关于儿童短暂性头痛的研究较少,目前尚不清楚成人中此类原发性头痛的主要类型是否适用于儿童。我们报告了一组20例患有短暂性头痛儿童的经验。两名患者患有继发性头痛。一名患者的头痛具有阵发性偏侧头痛的一些临床特征。其余17例有非常短暂的头痛。他们在许多方面与先前关于儿童特发性刺痛性头痛的研究中的其他患者相似:无相关症状,无其他相关头痛,偏头痛家族史常见。然而,他们在患者年龄较小和疼痛更频繁地位于三叉神经外部位方面有所不同。三叉神经外冰锥样疼痛可能是特发性刺痛性头痛的一种变体,在幼儿中更为普遍。