Shaw Lauren, Morozova Maria, Abu-Arafeh Ishaq
Department of Paediatrics, Forth Valley Royal Hospital, Larbert, FK5 4WR, UK.
Paediatric Neurosciences Unit, Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, UK.
Pain Manag. 2018 Jan;8(1):57-64. doi: 10.2217/pmt-2017-0019. Epub 2017 Dec 1.
The aim of this systematic review is to determine the prevalence and clinical features of chronic post-traumatic headache (CPTH) in children and adolescents. Literature search of PubMed, Embase, Cochrane databases and Google Scholar was carried out for all studies reporting on CPTH in children and young people under the age of 18 years between January 1980 and November 2016. Search command included post-traumatic headache, postconcussion syndrome, child and adolescent. Demographic data, diagnostic criteria of headache disorders, occurrence of headache after head injury and headache phenotypes were collected. The prevalence of nonspecific 'chronic headache' after head injury in children was 39% and prevalence of CPTH, as defined by the International Classification of Headache Disorders (2004), was 7.6% (95% CI: 5.9-9.7). Migraine-like headache was the most common presentation followed by tension-type headache. Other children had either mixed or unclassified headache disorders.
本系统评价的目的是确定儿童和青少年慢性创伤后头痛（CPTH）的患病率及临床特征。我们检索了PubMed、Embase、Cochrane数据库和谷歌学术，查找1980年1月至2016年11月期间所有关于18岁以下儿童和青少年CPTH的研究。检索词包括创伤后头痛、脑震荡后综合征、儿童和青少年。收集了人口统计学数据、头痛障碍的诊断标准、头部受伤后头痛的发生情况以及头痛表型。儿童头部受伤后非特异性“慢性头痛”的患病率为39%，根据《头痛疾病国际分类》（2004年）定义的CPTH患病率为7.6%（95%CI：5.9 - 9.7）。偏头痛样头痛是最常见的表现形式，其次是紧张型头痛。其他儿童患有混合型或未分类的头痛障碍。
