Cizmeci Mehmet Nevzat, Kanburoglu Mehmet Kenan, Gultop Kebiret, Cay Pinar, Kosehan Dilek, Sonmez Fatma Mujgan
Departamento de Radiología, Fatih University Medical School, Ankara, Turkey.
Arch Argent Pediatr. 2013 Jul-Aug;111(4):e86-8. doi: 10.5546/aap.2013.e86.
Frequent headache is a symptom that leads to significant distress and functional impairment, both in childhood and in adulthood. Some medical conditions are associated with a higher frequency of headaches. Borderline cerebellar tonsillar ectopia which may be defined as the downward extension of cerebellar tonsils of <5 mm below the foramen magnum is among these conditions. Although questions persist about the clinical significance of this rare entity on headache, there are studies reporting severe headache syndrome in 16% of these patients. We report a 9-year old male patient, who presented to our clinic with a frontal headache of 5 years' duration, and was found to have borderline cerebellar tonsillar ectopia on magnetic resonance imaging. To the best of our knowledge, there has not been a reported case of this coexistence at this early stage of life. We would like to contribute to the literature, owing to the very rare and atypical presentation of this entity in the early childhood period.
频繁头痛是一种在儿童期和成年期都会导致严重痛苦和功能障碍的症状。一些疾病与较高频率的头痛有关。边缘性小脑扁桃体下疝可定义为小脑扁桃体向下延伸至枕大孔以下小于5毫米，它就是其中之一。尽管关于这种罕见病症对头痛的临床意义仍存在疑问，但有研究报告称，这些患者中有16%出现严重头痛综合征。我们报告了一名9岁男性患者，他因持续5年的前额头痛前来我们诊所就诊，磁共振成像检查发现其患有边缘性小脑扁桃体下疝。据我们所知，在生命的这个早期阶段，尚未有这种共存情况的报告病例。由于该病症在幼儿期非常罕见且表现不典型，我们希望能为文献做出贡献。
