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小儿偏头痛:诊断与治疗的全面综述及观点

Pediatric Migraines: A Comprehensive Review and Perspectives on Diagnosis and Treatment.

作者信息

Al-Futaisi Amna

机构信息

Department of Child Health, Sultan Qaboos University, College of Medicine and Health Sciences, Muscat, Oman.

出版信息

Oman Med J. 2023 May 31;38(3):e499. doi: 10.5001/omj.2023.45. eCollection 2023 May.

Abstract

Pediatric migraine (PM) is one of the most prevalent neurological disorders in children. It has numerous variants and the sufferers often present to emergency departments with a wide variety of signs and symptoms that make diagnosis difficult. The trend in diagnosing and managing PM cases remain suboptimal despite the comprehensive diagnostic criteria and various therapeutic options. In this review, we discuss PM, provide an approach to the diagnosis, and describe the various available management options. However, the diagnosis of migraine is based on history and physical examination; no specific diagnostic test is available. The main management aspects are acute pain relief, prevention, and identifying triggering factors.

摘要

小儿偏头痛(PM)是儿童中最常见的神经系统疾病之一。它有多种变体,患者常因各种体征和症状前往急诊科就诊,这使得诊断困难。尽管有全面的诊断标准和各种治疗选择,但PM病例的诊断和管理趋势仍不理想。在本综述中,我们讨论小儿偏头痛,提供诊断方法,并描述各种可用的管理选项。然而,偏头痛的诊断基于病史和体格检查;没有特定的诊断测试。主要的管理方面是急性疼痛缓解、预防和识别触发因素。

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