Stirling Royal Infirmary, UK.
Scott Med J. 2013 Feb;58(1):26-9. doi: 10.1177/0036933012474591.
Research on headache disorders in young children is limited. This study aims to determine causes and clinical presentations of headache in young children attending a specialist clinic.
All children attending the headache clinic over 9-year period were included. Data were collected prospectively on demography and clinical presentations of headache at every attendance. The diagnosis of headache disorders was based on the International Classification of Headache Disorders-II (2004). Of the 921 children (491 male) who attended the clinic, 73 children (8%) were under 7 years of age at presentation; 34 children had migraine, 11 had tension-type headache (4 chronic), 4 had mixed types of headache and 16 children had unclassified headaches. Anorexia, nausea, vomiting, light intolerance and noise intolerance were common during migraine attacks and forehead was the most common site of maximal pain.
Migraine is the most common headache disorder in young children attending a specialist clinic. Headache presentation is often atypical and in 20% of young children headache disorders are unclassified. Chronic tension-type headache, often considered a disease of adolescents and adults, is shown to present in early age.
针对幼儿头痛障碍的研究有限。本研究旨在确定在专科诊所就诊的幼儿头痛的病因和临床表现。
纳入了 9 年来在头痛诊所就诊的所有儿童。每次就诊时均前瞻性收集有关人口统计学和头痛临床表现的数据。头痛障碍的诊断基于国际头痛疾病分类第二版（2004 年）。在 921 名（491 名男性）就诊的儿童中，73 名（8%）在就诊时年龄小于 7 岁；34 名患有偏头痛，11 名患有紧张型头痛（4 名慢性），4 名患有混合性头痛，16 名患有未分类头痛。偏头痛发作时常见食欲不振、恶心、呕吐、畏光和畏声，额部是最常见的疼痛部位。
偏头痛是在专科诊所就诊的幼儿中最常见的头痛障碍。头痛表现常常不典型，在 20%的幼儿中，头痛障碍未分类。慢性紧张型头痛，通常被认为是青少年和成年人的疾病，在早期就已出现。
