全身关节过度活动的儿童和青少年偏头痛的特征：一项病例对照研究。

Characterization of Migraine in Children and Adolescents With Generalized Joint Hypermobility: A Case-Control Study.

作者信息

Ghosh Ankita, Horn Paul S, Kabbouche Samaha Marielle, Kacperski Joanne, LeCates Susan L, White Shannon, Powers Scott W, Hershey Andrew D

机构信息

Division of Neurology (AG), Le Bonheur Children's Hospital, Memphis, TN; Division of Neurology (AG, PSH, MKS, JK, SLL, SW, ADH), Cincinnati Children's Hospital; Department of Pediatrics (PSH, MKS, JK, SWP, ADH), University of Cincinnati College of Medicine; and Division of Behavioral Medicine and Clinical Psychology (SWP), Cincinnati Children's Hospital Medical Center, OH.

出版信息

Neurol Clin Pract. 2023 Oct;13(5):e200188. doi: 10.1212/CPJ.0000000000200188. Epub 2023 Aug 17.

DOI:10.1212/CPJ.0000000000200188

PMID:37840826

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10573031/

Abstract

BACKGROUND AND OBJECTIVES

The prevalence of generalized joint hypermobility (GJH) is 5-65% in children and adolescents. The hypothesis of this study was to see whether there is an association between headache characteristics and GJH in children and adolescents with migraine.

METHODS

We performed a primary retrospective case-control analysis of an established database of patients with headache aged 5-17 years.

RESULTS

We included 5435 participants. Approximately 31.6% of participants (1,719/5,435) were diagnosed with GJH (Beighton score ≥ 6). Nausea (73.1% vs 67.5%, χ with 1 degree of freedom = 17.0, < 0.0001), phonophobia (87.3% vs 78.8%, χ with 1 degree of freedom = 18.0, < 0.0001), and the PedMIDAS score (48.2 ± 52.5, 95% CI 45.7-50.6 vs 41.6 ± 51.2, 95% CI 40.0-43.3, effect size = 0.13, < 0.0001) were noted to be more severe in participants with GJH than those without GJH.

DISCUSSION

Youths with GJH and migraine were noted to have more severe migraine characteristics.

摘要

背景与目的

儿童和青少年中全身关节活动过度（GJH）的患病率为5%-65%。本研究的假设是，偏头痛的儿童和青少年中，头痛特征与GJH之间是否存在关联。

方法

我们对一个已建立的5-17岁头痛患者数据库进行了初步回顾性病例对照分析。

结果

我们纳入了5435名参与者。约31.6%的参与者（1719/5435）被诊断为GJH（Beighton评分≥6）。有GJH的参与者的恶心症状（73.1%对67.5%，自由度为1的卡方检验=17.0，P<0.0001）、恐声症（87.3%对78.8%，自由度为1的卡方检验=18.0，P<0.0001）和儿童偏头痛残疾评估量表（PedMIDAS）评分（48.2±52.5，95%置信区间45.7-50.6对41.6±51.2，95%置信区间40.0-43.3，效应量=0.13，P<0.0001）比无GJH的参与者更严重。

讨论

GJH和偏头痛的青少年偏头痛特征更严重。

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全身关节过度活动的儿童和青少年偏头痛的特征：一项病例对照研究。

Characterization of Migraine in Children and Adolescents With Generalized Joint Hypermobility: A Case-Control Study.

作者信息

Ghosh Ankita, Horn Paul S, Kabbouche Samaha Marielle, Kacperski Joanne, LeCates Susan L, White Shannon, Powers Scott W, Hershey Andrew D

机构信息

出版信息

Neurol Clin Pract. 2023 Oct;13(5):e200188. doi: 10.1212/CPJ.0000000000200188. Epub 2023 Aug 17.

DOI:10.1212/CPJ.0000000000200188

PMID:37840826

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10573031/

Abstract

BACKGROUND AND OBJECTIVES

METHODS

We performed a primary retrospective case-control analysis of an established database of patients with headache aged 5-17 years.

RESULTS

DISCUSSION

Youths with GJH and migraine were noted to have more severe migraine characteristics.

摘要

背景与目的

儿童和青少年中全身关节活动过度（GJH）的患病率为5%-65%。本研究的假设是，偏头痛的儿童和青少年中，头痛特征与GJH之间是否存在关联。

方法

我们对一个已建立的5-17岁头痛患者数据库进行了初步回顾性病例对照分析。

结果

讨论

GJH和偏头痛的青少年偏头痛特征更严重。

全身关节过度活动的儿童和青少年偏头痛的特征：一项病例对照研究。

Characterization of Migraine in Children and Adolescents With Generalized Joint Hypermobility: A Case-Control Study.

作者信息

机构信息

出版信息

BACKGROUND AND OBJECTIVES

METHODS

RESULTS

DISCUSSION

背景与目的

方法

结果

讨论

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全身关节过度活动的儿童和青少年偏头痛的特征：一项病例对照研究。

Characterization of Migraine in Children and Adolescents With Generalized Joint Hypermobility: A Case-Control Study.

作者信息

机构信息

出版信息

BACKGROUND AND OBJECTIVES

METHODS

RESULTS

DISCUSSION

背景与目的

方法

结果

讨论