Guidetti Vincenzo, Faedda Noemi
Department of Paediatrics and Child and Adolescent Neuropsychiatry, Sapienza University of Rome, Via dei Sabelli 108, 00185, Rome, Italy.
Neurol Sci. 2017 May;38(Suppl 1):103-106. doi: 10.1007/s10072-017-2865-1.
Recognize the presence of headache at early age is essential to prevent that the disorder interferes with physical, psychological and social functioning. However, there are several differences between adults and children in the clinical manifestation of headache such as quality and severity of pain, trigger, associated symptoms, gender, duration of attacks, number of daytime attacks, comorbidities and red flags of secondary headache. These differences can make the diagnosis more complex in early ages than in adults, so it is essential to know how headache changes over time to identify its presence in the earliest phases of childhood.
认识到儿童早期出现头痛对于预防该病症干扰身体、心理和社会功能至关重要。然而,成人和儿童头痛的临床表现存在一些差异,如疼痛的性质和严重程度、触发因素、伴随症状、性别、发作持续时间、日间发作次数、合并症以及继发性头痛的警示信号。这些差异会使儿童早期的诊断比成人更复杂,因此了解头痛如何随时间变化以在儿童期最早阶段识别其存在至关重要。