Castro-Gago M, Couceiro J A, Novo-Rodríguez I, Méndez M J, Fernández Seara M J, Eirís J
Dpto. de Pediatria, Hospital General de Galicia, Santiago de Compostela.
Rev Neurol. 1995 Jul-Aug;23(122):769-72.
A retrospective study of 101 cases of infantile migraine aged between 3 and 14 years is reported. Both sexes were affected equally, being common migraine the most frequent form. The immediate positive family history for migraine and underlying precipitating factors were identified in 66% and 88% of the cases respectively. The electroencephalographic picture displayed focal spike and wave or sharp and slow wave discharges in 19.1% of the cases. The evolution was favourable in 92% and there was no correlated with headache frequency or treatment approach. The better therapeutic response was obtained when underlying precipitating factors were removed. The most effective prophylactic drugs in our series were flunarizine, propanolol and dimetotiazine. We discuss the most relevant features of the migraine in the infancy.
本文报告了一项对101例年龄在3至14岁之间的小儿偏头痛患者的回顾性研究。男女发病率相同，常见偏头痛是最常见的类型。分别在66%和88%的病例中发现了偏头痛的直接阳性家族史和潜在诱发因素。19.1%的病例脑电图显示局灶性尖波和慢波或锐慢波放电。92%的患者病情好转，且与头痛频率或治疗方法无关。去除潜在诱发因素时治疗反应更佳。我们系列研究中最有效的预防性药物是氟桂利嗪、普萘洛尔和甲噻吩嗪。我们讨论了婴儿期偏头痛的最相关特征。
