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[儿童梦游症与偏头痛。一种并非偶然的关联]

[Somnambulism and migraine in children. A non-fortuitous association].

作者信息

Giroud M, Nivelon J L, Dumas R

出版信息

Arch Fr Pediatr. 1987 Apr;44(4):263-5.

PMID:3592914
Abstract

Looking for frequency of somnambulism in 3 homogeneous groups of children, a first group of migrainous children, a second group of epileptic children and a third group of normal children, the authors have observed that an antecedent of somnambulism existed in 28% of migrainous children, when it was found in only 6% of epileptic children, and in 5% of normal children. This significant difference demonstrates that the association of migraine and somnambulism is real. The possibility that migraine and somnambulism appearing in the same patient at different ages might be the expression of a same neurochemical disorder is discussed. The practical interest to know this association is that somnambulism may be a real clinical marker of migrainous background that should be searched for in every patient presenting with chronic cephalalgia.

摘要

为了探寻三组同质儿童(第一组为偏头痛儿童,第二组为癫痫儿童,第三组为正常儿童)中梦游症的发生率,作者观察到,28%的偏头痛儿童有梦游症病史,而癫痫儿童中仅有6%有此病史,正常儿童中则为5%。这一显著差异表明偏头痛与梦游症之间的关联是真实存在的。文中还讨论了偏头痛和梦游症在同一患者不同年龄段出现可能是同一神经化学紊乱表现的可能性。了解这种关联的实际意义在于,梦游症可能是偏头痛背景的一个真实临床指标,对于每一位患有慢性头痛的患者都应进行排查。

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