儿科偏头痛现象及变异型：别让它们被忽视。
Pediatric Migraine Phenomena and Variants: Don't Let Them Go Over Your Head.
机构信息
Division of Pediatric Neurology, Department of Pediatrics, University of Utah and Primary Children's Hospital, Salt Lake City, UT, USA.
Department of Neurology, University of Utah, Salt Lake City, UT, USA.
出版信息
Curr Pain Headache Rep. 2020 Jul 15;24(9):47. doi: 10.1007/s11916-020-00879-3.
PURPOSE OF REVIEW
Primary care providers, general pediatric neurologists, and other related subspecialty providers require a clear understanding of pediatric migraine with typical aura and its variants.
RECENT FINDINGS
We highlight some of the genetic mutations known to contribute to specific types of migraine with aura, discuss the ophthalmologic phenomena of migraine and call attention to some of the earliest manifestations of migraine in children, many of which have correlates in adulthood. While the majority of headaches in children are migraine with or without aura or tension type, many migraine and aura variants exist. Early and accurate diagnosis of episodic syndromes associated with migraine, as defined by the 2018 ICHD-3 criteria, can help to reduce unnecessary imaging, referrals, cost and anxiety, thereby benefiting patients and their families.
目的综述
初级保健提供者、普通儿科神经科医生和其他相关亚专科医生需要清楚地了解具有典型先兆的儿童偏头痛及其变体。
最新发现
我们强调了一些已知的导致特定类型有先兆偏头痛的基因突变，讨论了偏头痛的眼科现象，并提请注意儿童偏头痛的一些最早表现，其中许多在成年后都有相关表现。虽然大多数儿童头痛是偏头痛伴或不伴先兆或紧张型头痛，但也存在许多偏头痛和先兆变体。根据 2018 年 ICHD-3 标准定义的与偏头痛相关的发作性综合征的早期和准确诊断，可以帮助减少不必要的影像学检查、转诊、费用和焦虑，从而使患者及其家属受益。
Zotero 插件