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儿童偏头痛的流行病学与诊断

Epidemiology and diagnosis of migraine in children.

作者信息

Winner Paul, Hershey Andrew D

机构信息

Palm Beach Headache Center, 4631 North Congress Avenue, West Palm Beach, FL 33407, USA.

出版信息

Curr Pain Headache Rep. 2007 Oct;11(5):375-82. doi: 10.1007/s11916-007-0220-6.

DOI:10.1007/s11916-007-0220-6
PMID:17894928
Abstract

Migraine headache occurs frequently in children and adolescents but is often not recognized. This underdiagnosis or misdiagnosis results in inappropriate and potentially ineffective treatments. A variety of factors may contribute to this deficiency, including limitations in the current standardized criteria, as well as patient, parent, and care providers' misassumption as to the etiology. The standardized criteria that have been developed to assist with the recognition and accurate diagnoses have recently been revised (the International Classification of Headache Disorders II). These criteria provide the scientific basis for the study of headache, including the determination of the incidence and prevalence of pediatric migraine.

摘要

偏头痛在儿童和青少年中频繁发生,但往往未被识别。这种诊断不足或误诊会导致不恰当且可能无效的治疗。多种因素可能导致这种不足,包括当前标准化标准的局限性,以及患者、家长和护理人员对病因的错误认知。为协助识别和准确诊断而制定的标准化标准最近已被修订(《国际头痛疾病分类第二版》)。这些标准为头痛研究提供了科学依据,包括小儿偏头痛发病率和患病率的确定。

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