短暂性发作性和慢性小儿头痛综述。
A review of episodic and chronic pediatric headaches of brief duration.
作者信息
McAbee Gary N
机构信息
Department of Pediatrics, CarePoint Health Medical Group, Jersey City, New Jersey; Department of Neuroscience, Seton Hall University, School of Health & Medical Sciences, South Orange, New Jersey.
出版信息
Pediatr Neurol. 2015 Feb;52(2):137-42. doi: 10.1016/j.pediatrneurol.2014.10.018. Epub 2014 Oct 22.
BACKGROUND
Headaches that last less than an hour in duration are uncommon, except for atypical migraine, and without a practitioner's appropriate knowledge, may result in misdiagnosis. Although most of these headaches are classified as primary headache syndromes, some have secondary etiologies such as structural lesions.
METHODS
This pediatric-specific review updates these headache syndromes. Included are atypical migraine, the trigeminal autonomic cephalgias, idiopathic stabbing headache, cranial neuralgias, occipital neuralgia, thunderclap headache, nummular headache, the red ear syndrome, and the numb-tongue syndrome.
CONCLUSION
Knowledge of the clinical characteristics of these headache patterns in children allows physicians to quickly establish the headache diagnosis and develop the optimal treatment plan.
背景
持续时间少于1小时的头痛并不常见，非典型偏头痛除外，并且如果从业者缺乏相应知识，可能会导致误诊。虽然这些头痛大多被归类为原发性头痛综合征，但有些有继发性病因，如结构性病变。
方法
本针对儿科的综述更新了这些头痛综合征。包括非典型偏头痛、三叉自主神经性头痛、特发性刺痛性头痛、颅神经痛、枕神经痛、霹雳样头痛、钱币状头痛、红耳综合征和麻木舌综合征。
结论
了解儿童这些头痛模式的临床特征，有助于医生快速做出头痛诊断并制定最佳治疗方案。
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