Landgraf M N, König H, Hannibal I, Langhagen T, Bonfert M V, Klose B, Rahmsdorf B, Giese R M, Straube A, von Kries R, Albers L, Ebinger F, Ertl-Wagner B, Kammer B, Körte I, Sollmann N, Krieg S, Heinen F
Abteilung für Pädiatrische Neurologie und Entwicklungsneurologie, LMU Zentrum - iSPZ Hauner, Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital, Universität München, Lindwurmstr. 4, 80337, München, Deutschland.
Deutsches Schwindel- und Gleichgewichtszentrum (DSGZ), Campus Großhadern, Klinikum der Universität München, München, Deutschland.
Nervenarzt. 2017 Dec;88(12):1402-1410. doi: 10.1007/s00115-017-0428-6.
Migraine as primary headache is a life-long disease which is relevant for the quality of life and is based on complex genetics. It often starts in childhood with symptoms typical for the specific age. These show different nuances compared to the migraine symptoms in adults, for example, regarding (bilateral/unilateral) localization of the acute migraine headache. Only over the course of years-during adolescence and young adulthood-do the more specific symptoms as defined by the International Classification of Headache Disorders (ICHD 3 beta) develop. In this article we focus on the clinical specifics of children and adolescents with migraine. We elaborately refer to the trigeminocervical complex (TCC) because it forms a conceptual bridge for the understanding of migraine, for psychoeducation, and for therapeutic options. We pragmatically discuss options and limits of treatments.
偏头痛作为原发性头痛是一种与生活质量相关的终身疾病，其病因基于复杂的遗传学。它通常始于儿童期，伴有特定年龄阶段的典型症状。与成人偏头痛症状相比，这些症状表现出不同的细微差别，例如急性偏头痛头痛的（双侧/单侧）定位。只有在数年的过程中——在青春期和青年期——才会出现国际头痛疾病分类（ICHD 3 beta）所定义的更具体的症状。在本文中，我们重点关注偏头痛儿童和青少年的临床特点。我们详细提及三叉神经颈复合体（TCC），因为它为理解偏头痛、进行心理教育以及选择治疗方案提供了一个概念性的桥梁。我们务实讨论治疗方案及局限性。
