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神经囊虫病患儿癫痫治疗后合并头痛的模式。

Pattern of Comorbid Headache Among Children with Epilepsy Treated for Neurocysticercosis.

机构信息

Department of Pediatrics, Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, 124001, India.

出版信息

Indian J Pediatr. 2020 Jul;87(7):547-549. doi: 10.1007/s12098-020-03233-y. Epub 2020 Feb 12.

Abstract

The present cross-sectional study was designed to describe the pattern of comorbid headache among children with epilepsy (CWE) secondary to neurocysticercosis (NCC). Children aged 6 to 14 y (n = 70) already diagnosed with neurocysticercosis on a minimum follow-up of six months were consecutively enroled in the study over a period of four months. Majority of them were boys [41 (58%)] with a mean (SD) age of 9.8 (3.2) y. Headache was reported by 24 (34.2%) children. Only one child among them qualified the diagnosis of migraine as per International Classification of Headache Disorders (ICHD)-3 criteria. The proportion of children with and without headache was comparable among those with active or inactive lesion [p = 0.21]; single or multiple lesions [p = 0.78]; and stages of NCC [p = 0.23]. The proportion of children with headache was similar irrespective of the activity and the number of NCC lesions. This alerts the pediatrician to evaluate the headache and consider migraine among CWE treated for NCC.

摘要

本横断面研究旨在描述神经囊尾蚴病(NCC)继发癫痫儿童(CWE)的共患头痛模式。在四个月的时间内,连续纳入了 70 名年龄在 6 至 14 岁(n = 70)且已确诊 NCC 至少随访 6 个月的儿童。他们中的大多数是男孩(41 [58%]),平均(SD)年龄为 9.8(3.2)岁。24 名儿童(34.2%)报告有头痛。根据国际头痛疾病分类(ICHD)-3 标准,其中仅有 1 名儿童符合偏头痛诊断。在活动或非活动病变(p = 0.21)、单发或多发病变(p = 0.78)和 NCC 分期(p = 0.23)中,有头痛的儿童比例与无头痛的儿童比例相当。无论 NCC 病变的活动度和数量如何,有头痛的儿童比例都相似。这提醒儿科医生评估头痛并考虑在治疗 NCC 的 CWE 中是否存在偏头痛。

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