Department of Pediatric Neurology, Faculty of Medicine, Balikesir University, Cayirhisar, 10145, Balikesir, Turkey.
Department of Pediatrics, Faculty of Medicine, Adiyaman University, 02200, Adiyaman, Turkey.
Acta Neurol Belg. 2021 Dec;121(6):1741-1744. doi: 10.1007/s13760-020-01491-3. Epub 2020 Sep 21.
Migraine is a recurrent, primary cause of headache. Although prophylactic vitamin B12 therapy is used on migraine patients, there is a limited number of studies examining the levels of B12 vitamin and folic acid in pediatric patients diagnosed with migraine. The study group (Group 1) included 65 pediatric patients diagnosed with migraine in the Pediatric neurology outpatient clinic, and 87 healthy cases admitted to the general pediatric clinic were included in the control group (Group 2). Complete blood count parameters, vitamin B12, folic acid, ferritin, and 25 OH D vitamin levels of the study and control groups were compared. The mean vitamin B12 level was 196.42 ± 95.54 pg/mL (59-499) in Group 1 and 240 ± 105.24 pg/mL (74-619) in Group 2. The mean folic acid level was 8.85 ± 3.49 pg/mL (3.68-23.70) in Group 1 and 7.24 ± 7.17 pg/mL (1.11-35.50) in Group 2. There was a statistically significant difference between Group 1 and 2 in terms of vitamin B12 and folic acid levels (p = 0.008, p = 0.00). The results of this study indicate the requirement for routine evaluation of vitamin B12 and folic acid levels in pediatric patients diagnosed with migraine.
偏头痛是一种反复发作的原发性头痛。尽管预防性维生素 B12 治疗被用于偏头痛患者,但针对诊断为偏头痛的儿科患者的维生素 B12 和叶酸水平进行研究的数量有限。研究组(第 1 组)包括在儿科神经科门诊诊断为偏头痛的 65 例儿科患者,对照组(第 2 组)纳入了 87 例普通儿科诊所的健康病例。比较了研究组和对照组的全血细胞计数参数、维生素 B12、叶酸、铁蛋白和 25 OH D 维生素水平。第 1 组的平均维生素 B12 水平为 196.42±95.54pg/mL(74-499),第 2 组为 240±105.24pg/mL(74-619)。第 1 组的平均叶酸水平为 8.85±3.49pg/mL(3.68-23.70),第 2 组为 7.24±7.17pg/mL(1.11-35.50)。第 1 组和第 2 组的维生素 B12 和叶酸水平有统计学差异(p=0.008,p=0.00)。本研究结果表明,需要对诊断为偏头痛的儿科患者进行常规维生素 B12 和叶酸水平评估。