Genizi J, Guidetti V, Arruda M A
Pediatric Neurology Unit, Bnai Zion Medical Center, Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Department of Pediatrics and Child Neuropsychiatry, University "La Sapienza", Rome, Italy.
Curr Pain Headache Rep. 2017 Jul;21(7):31. doi: 10.1007/s11916-017-0633-9.
Headache is a common complaint among children and adolescents. School functioning is one of the most important life domains impacted by chronic pain in children. This review discusses the epidemiological and pathophysiological connections between headaches and school functioning including a suggested clinical approach.
The connection between recurrent and chronic headache and learning disabilities might be psychosocial (fear of failure) or anatomical (malfunctioning of the frontal and prefrontal areas). Only few population-based and clinical studies were done and good studies are still needed in order to understand the complex relationship better. However, relating to our patients' learning and school performance, history is crucial when a child with primary headaches is evaluated. Learning disabilities seem to have a high prevalence among children with primary headache syndromes especially migraine. The connection between the two is complex and might be either part of a common brain pathophysiology and/or a consequence of poor quality of life.
头痛是儿童和青少年常见的主诉。学校功能是受儿童慢性疼痛影响最重要的生活领域之一。本综述讨论头痛与学校功能之间的流行病学和病理生理学联系，包括建议的临床方法。
复发性和慢性头痛与学习障碍之间的联系可能是社会心理性的（害怕失败）或解剖学上的（额叶和前额叶区域功能失调）。仅进行了少数基于人群和临床的研究，仍需要高质量的研究以更好地理解这种复杂关系。然而，就我们患者的学习和学业表现而言，在评估原发性头痛患儿时病史至关重要。学习障碍在原发性头痛综合征尤其是偏头痛患儿中似乎患病率很高。两者之间的联系很复杂，可能是共同脑病理生理学的一部分和/或生活质量差的结果。
