专家关于 ICHD-3β儿童继发性头痛诊断标准的意见。
Experts' opinion about the pediatric secondary headaches diagnostic criteria of the ICHD-3 beta.
机构信息
Department of Neurology, Mersin University Medical Faculty, Mersin, Turkey.
Royal Hospital for Sick Children, Glasgow, G3 8SJ, UK.
出版信息
J Headache Pain. 2017 Nov 29;18(1):113. doi: 10.1186/s10194-017-0819-x.
BACKGROUND
The 2013 International Classification of Headache Disorders-3 was published in a beta version to allow clinicians to confirm the validity of the criteria or suggest improvements based on field studies. The aim of this work was to review the Secondary Headache Disorders and Cranial Neuralgias and Other Headache Disorders sections of ICHD-3 beta data on children and adolescents (age 0-18 years) and to suggest changes, additions, and amendments.
METHODS
Several experts in childhood headache across the world applied different aspects of ICHD-3 beta in their normal clinical practice. Based on their personal experience and the available literature on pediatric headache, they made observations and proposed suggestions for the mentioned headache disorders on children and adolescents.
RESULTS
Some headache disorders in children have specific features, which are different from adults that should be acknowledged and considered. Some features in children were found to be age-dependent: clinical characteristics, risks factors and etiologies have a strong bio psychosocial basis in children and adolescents making primary headache disorders in children distinct from those in adults.
CONCLUSIONS
Several recommendations are presented in order to make ICHD-3 more appropriate for use in children.
背景
2013 年国际头痛疾病分类第三版（ICHD-3）发布了 beta 版本，以允许临床医生根据现场研究来确认标准的有效性或提出改进建议。本研究的目的是审查 ICHD-3 beta 中有关儿童和青少年（0-18 岁）的继发性头痛疾病和颅神经病及其他头痛疾病章节，并提出更改、添加和修正建议。
方法
世界各地的几位儿童头痛专家在其日常临床实践中应用了 ICHD-3 beta 的不同方面。根据他们的个人经验和有关儿科头痛的现有文献，他们对上述儿童头痛疾病进行了观察，并提出了建议。
结果
一些儿童头痛疾病具有特定的特征，与成年人不同，这些特征应该得到承认和考虑。一些儿童特征是年龄依赖性的：临床特征、风险因素和病因在儿童和青少年中有很强的生物心理社会基础，使得儿童原发性头痛疾病与成年人的不同。
结论
为了使 ICHD-3 更适用于儿童，提出了一些建议。
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