Department of Pediatric Neurology, Doctor Sami Ulus Children's Health and Disease Training and Research Hospital, Ankara, Turkey.
Pediatr Neurol. 2012 Mar;46(3):154-7. doi: 10.1016/j.pediatrneurol.2011.11.016.
This study evaluates specific electroencephalogram abnormalities in pediatric migraine and tension-type headaches, and demonstrates the clinical value of these abnormalities. We studied 50 migraine patients and 50 tension-type headache patients. Their mean age ± SD was 10.62 ± 3.21 (range, 5-16) years in the migraine group, and 13.00 ± 2.37 (7-16) years in the tension-type headache group. Diagnoses were rendered according to the International Classification of Headache Disorders, 2nd Edition, First Revision, of the International Headache Society. All patients underwent two waking-state electroencephalograms, one during a headache, and the other when headache-free. Thirty-six percent (18/50) of migraine patients and 12% (6/50) of tension-type headache patients revealed specific electroencephalogram abnormalities in headache attack electroencephalograms (P < 0.05). In headache-free period electroencephalograms, 16% (8/50) of the migraine group and 2% (1/50) of the tension-type headache group revealed abnormalities (P < 0.05). Our results indicate that electroencephalogram abnormalities are particularly prevalent in migraines, especially during headache attacks. This study is the first, to the best of our knowledge, on electroencephalographic evaluation of pediatric migraine and tension-type headache patients during both headache attacks and headache-free periods.
本研究评估了儿科偏头痛和紧张型头痛患者的特定脑电图异常，并展示了这些异常的临床价值。我们研究了 50 例偏头痛患者和 50 例紧张型头痛患者。偏头痛组的平均年龄 ± SD 为 10.62 ± 3.21（范围，5-16）岁，紧张型头痛组为 13.00 ± 2.37（7-16）岁。根据国际头痛协会的国际头痛疾病分类，第 2 版，第 1 修订版进行诊断。所有患者均进行了两次清醒状态脑电图检查，一次在头痛发作时，一次在头痛缓解时。36%（18/50）的偏头痛患者和 12%（6/50）的紧张型头痛患者在头痛发作期脑电图中出现特定的脑电图异常（P<0.05）。在头痛缓解期脑电图中，偏头痛组有 16%（8/50）和紧张型头痛组有 2%（1/50）出现异常（P<0.05）。我们的结果表明，脑电图异常在偏头痛中尤为常见，尤其是在头痛发作期间。据我们所知，这是第一项关于儿科偏头痛和紧张型头痛患者在头痛发作期和头痛缓解期进行脑电图评估的研究。
