Division of Child Neurology, Department of Neurology, University of California San Francisco, San Francisco, California, USA.
Curr Opin Neurol. 2018 Jun;31(3):281-285. doi: 10.1097/WCO.0000000000000558.
This review covers recent advances in our understanding of episodic syndromes that may be associated with migraine in children and adolescents, as well as what is known about the treatment of these disorders.
The episodic syndromes include benign paroxysmal torticollis, benign paroxysmal vertigo, abdominal migraine, and cyclic vomiting syndrome. Infant colic, or excessive crying in an otherwise healthy and well fed infant, may also fit into this category and is included in the appendix section of the most recent edition of the International Classification of Headache Disorders.
Episodic syndromes are considered to be early life expressions of migraine in the developing brain. Additional research is needed to determine, which acute and preventive treatments are the most effective in managing these disorders.
本文综述了近年来我们对可能与儿童和青少年偏头痛相关的发作性综合征的认识进展,以及这些疾病治疗的相关信息。
发作性综合征包括良性阵发性斜颈、良性阵发性眩晕、腹型偏头痛和周期性呕吐综合征。婴儿绞痛,或在其他方面健康和喂养良好的婴儿中过度哭泣,也可能属于此类,并包含在最新版国际头痛疾病分类的附录部分中。
发作性综合征被认为是发育中大脑偏头痛的早期表现。需要进一步研究来确定哪些急性和预防性治疗对这些疾病的管理最有效。