Hershey Andrew D, Winner Paul, Kabbouche Marielle A, Powers Scott W
Division of Neurology, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio 45229-3039, USA.
Curr Opin Pediatr. 2007 Dec;19(6):663-9. doi: 10.1097/MOP.0b013e3282f1a07f.
Headaches and migraine occur frequently in children and adolescents and may have a significant impact on the child's and parents' lives. Recent advances in diagnosis, epidemiology, and treatment have improved the outcomes of children with headaches. This review summarizes some of these findings.
Recent studies have revealed the increasing incidence of migraine and chronic migraine in the pediatric and adolescent age groups. These studies have also begun to identify comorbidities that may affect the impact over a lifetime. Limitations of the diagnosis of migraine have restricted some of these findings, but modifications to the criteria may assist with early recognition. Proper evaluation and treatment, including acute, preventive, and biobehavioral therapies, may need to be incorporated for optimal outcomes. Long-term outcomes may be determined by the underlying pathophysiology as well as early effective management.
Migraine in children is increasingly being recognized as a problem. Early, effective treatment is available and may result in long-term benefit and prevent disease progression. Further research into childhood headaches should help reveal additional pathophysiological mechanisms and treatment options.
头痛和偏头痛在儿童和青少年中频繁发生，可能对儿童及其父母的生活产生重大影响。诊断、流行病学和治疗方面的最新进展改善了头痛儿童的治疗效果。本综述总结了其中一些研究结果。
最近的研究表明，偏头痛和慢性偏头痛在儿童和青少年年龄组中的发病率不断上升。这些研究还开始确定可能影响一生的合并症。偏头痛诊断的局限性限制了其中一些研究结果，但对标准的修改可能有助于早期识别。为了获得最佳治疗效果，可能需要综合进行适当的评估和治疗，包括急性、预防性和生物行为疗法。长期治疗效果可能由潜在的病理生理学以及早期有效的管理决定。
儿童偏头痛越来越被视为一个问题。现已有早期有效的治疗方法，可能会带来长期益处并预防疾病进展。对儿童头痛的进一步研究应有助于揭示更多的病理生理机制和治疗选择。
