Department of Pediatrics, Division of Pediatric Neurology, University of Health Sciences, Bursa City Training and Research Hospital, Doganköy, Nilüfer, Bursa, +90 506 366, 3796, Turkey.
Department of Radiology, Ilknur Ozdeniz Mutlucan, University of Health Sciences, Bursa City Training and Research Hospital, Radiologist, Bursa, Turkey.
BMC Pediatr. 2023 Aug 30;23(1):435. doi: 10.1186/s12887-023-04264-y.
Migraine and tension-type headache are common primary headaches in children. There is a risk of developing secondary headache in children. The current study was aimed to evaluate magnetic resonance imaging findings (MRI) in children with migraine or tension-type headache.
The study was planned in children with migraine or tension-type headaches who have been followed up in the pediatric neurology outpatient clinic with regular office visits for at least two years and had neuroimaging in the last year.
280 patients (187 female patients) datas were studied. 91 (61 female patients) were followed up with the diagnosis of migraine and 189 (126 female patients) with the diagnosis of tension-type headaches. The age of patients was found to be 13.1 ± 3.4 years. Brain tumor was found in one child with tension-type headache who had papilledema. Incidental MRI findings found 7.7% and 12.7% in migraine and tension-type headache, respectively. MRI findings in the study were arachnoid cyst (14), pituitary adenoma (6), mega cisterna magna (6), pineal cyst (3), non-specific gliosis (2) and tumor (1).
Arachnoid cysts were found incidental as the most common MRI finding in children with migraine or tension-type headache. The rare life-threatening secondary headache may develop in children. The fundus examination as a complement to the neurological examination can be useful for requesting MRI.
偏头痛和紧张型头痛是儿童常见的原发性头痛。儿童存在发生继发性头痛的风险。本研究旨在评估偏头痛或紧张型头痛儿童的磁共振成像（MRI）结果。
该研究纳入了在儿科神经内科门诊定期就诊至少两年且在过去一年中进行过神经影像学检查的偏头痛或紧张型头痛患儿。
研究共纳入 280 名患者（187 名女性患者）的数据。91 名（61 名女性患者）被诊断为偏头痛，189 名（126 名女性患者）被诊断为紧张型头痛。患者的年龄为 13.1±3.4 岁。1 名患有紧张型头痛且伴有视乳头水肿的患儿被发现患有脑肿瘤。在偏头痛和紧张型头痛中分别有 7.7%和 12.7%的患者偶然发现 MRI 异常。研究中的 MRI 结果包括蛛网膜囊肿（14 个）、垂体腺瘤（6 个）、巨大脑池（6 个）、松果体囊肿（3 个）、非特异性神经胶质增生（2 个）和肿瘤（1 个）。
在偏头痛或紧张型头痛患儿中，蛛网膜囊肿是最常见的偶然 MRI 发现。儿童可能会发生罕见的危及生命的继发性头痛。眼底检查作为神经系统检查的补充，有助于提出 MRI 请求。
