Raieli V, Raimondo D, Cammalleri R, Camarda R
Instituto di Neuropsichiatria, Università degli Studi di Palermo, Italy.
Cephalalgia. 1995 Feb;15(1):5-12; discussion 4. doi: 10.1046/j.1468-2982.1995.1501005.x.
We assessed the prevalence of migraine headaches in an epidemiological survey of an 11 to 14-year-old student population. Migraine headaches were classified on the basis of questionnaires and neurological examination using the operational diagnostic criteria of the International Headache Society. Prevalence of migraine without aura (IHS code 1.1) was 2.35%; that of migraine with aura (IHS code 1.2) was 0.62%. Migraine without aura was equally distributed among males and females, whereas migraine with aura was preponderant in the female cohort. The prevalence of migraine headaches in males was constant through the ages studied, whereas the prevalence of migraine headaches in females reached a peak at age 12 and plateaued over the following two years. Although the new IHS classification criteria of migraines are reliable and exhaustive, some subcriteria may not be valid in a juvenile population. For instance, the duration of the pain in young migraineurs is often briefer than in adults, and the intensity of pain was almost always described as moderate or severe. Therefore, in order to increase the reliability and comprehensiveness of the IHS classification, minor modifications should be made.
我们在一项针对11至14岁学生群体的流行病学调查中评估了偏头痛的患病率。偏头痛是根据问卷和神经系统检查，采用国际头痛协会的操作性诊断标准进行分类的。无先兆偏头痛（国际头痛协会编码1.1）的患病率为2.35%；有先兆偏头痛（国际头痛协会编码1.2）的患病率为0.62%。无先兆偏头痛在男性和女性中分布均匀，而有先兆偏头痛在女性队列中占优势。男性偏头痛的患病率在研究的各年龄段中保持稳定，而女性偏头痛的患病率在12岁时达到峰值，并在随后两年保持平稳。尽管国际头痛协会新的偏头痛分类标准可靠且详尽，但一些子标准在青少年人群中可能无效。例如，年轻偏头痛患者的疼痛持续时间通常比成年人短，而且疼痛强度几乎总是被描述为中度或重度。因此，为了提高国际头痛协会分类的可靠性和全面性，应进行一些小的修改。
