Grengs Leah R, Mack Kenneth J
Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Department of Neurology, Mayo Clinic, Rochester, MN, USA
J Child Neurol. 2016 Jun;31(7):864-8. doi: 10.1177/0883073815624761. Epub 2016 Jan 5.
This study was performed to determine if there were a time of year that children were more likely to transition into a chronic daily headache. We retrospectively reviewed records of 103 patients with chronic migraine and 104 patients with new daily persistent headache. Of these, 56 chronic migraine and 92 new daily persistent headache patients were able to identify the specific month in which they began to experience daily headaches. Thirty-nine percent of new daily persistent headache patients had an onset of daily headache in either September or January, months traditionally associated with the start of the school semester in the United States. Only a single patient reported onset in May or June. Data for the transition from episodic to chronic migraine also showed higher rates in September and January, but did not reach statistical significance. These data demonstrate the higher rates of new daily persistent headache onset during school start months and question what factors may be responsible for this association.
本研究旨在确定是否存在一年中的某个时段，儿童更有可能转变为慢性每日头痛。我们回顾性分析了103例慢性偏头痛患者和104例新发性每日持续性头痛患者的记录。其中，56例慢性偏头痛患者和92例新发性每日持续性头痛患者能够确定他们开始出现每日头痛的具体月份。39%的新发性每日持续性头痛患者在9月或1月开始出现每日头痛，在美国，这两个月传统上与开学时间相关。只有1例患者报告在5月或6月发病。从发作性偏头痛转变为慢性偏头痛的数据也显示9月和1月的发生率较高，但未达到统计学显著性。这些数据表明在开学月份新发性每日持续性头痛的发病率较高，并对可能导致这种关联的因素提出了疑问。
