Wöber-Bingöl C, Wöber C, Wagner-Ennsgraber C, Karwautz A, Vesely C, Zebenhoizer K, Geldner J
Department of Neuropsychiatry of Childhood and Adolescence, University of Vienna, Austria.
Headache. 1996 Apr;36(4):231-8. doi: 10.1046/j.1526-4610.1996.3604231.x.
We investigated the influence of age on the IHS criteria for migraine and tension-type headache in 437 consecutive children and adolescents and found the following age-associated statistically significant differences: migraine duration, occurrence of migraine aura, and bilateral location of tension-type headache were more often fulfilled by adolescents, whereas aggravation of headache by physical activity (in migrainous disorder) and photophobia (in migraine with aura) were more often fulfilled by children. Accordingly, there are only a few differences concerning the fulfillment of the IHS criteria for migraine and tension-type headache in children and adolescents. Independent of age, the intensity of headache and the presence or absence of nausea are most important for differentiating the two major types of idiopathic headache. The sensitivity of the IHS criteria for migraine could be increased by reducing the minimum duration of migraine and by allowing the diagnosis of migraine when severe headache is associated with nausea, even though the criteria of location, quality, and aggravation by physical activity are not fulfilled.
我们对437名连续就诊的儿童和青少年进行了研究，以探讨年龄对偏头痛和紧张型头痛国际头痛协会（IHS）标准的影响，发现了以下与年龄相关的具有统计学意义的差异：青少年更常满足偏头痛持续时间、偏头痛先兆的发生以及紧张型头痛的双侧位置等标准，而儿童更常满足因体力活动导致头痛加重（在偏头痛性疾病中）和畏光（在有先兆偏头痛中）等标准。因此，在儿童和青少年中，关于满足偏头痛和紧张型头痛IHS标准方面只有少数差异。与年龄无关，头痛强度以及恶心的有无对于区分两种主要类型的特发性头痛最为重要。通过缩短偏头痛的最短持续时间，并在严重头痛伴有恶心时允许诊断偏头痛，即使位置、性质和因体力活动而加重等标准未满足，IHS偏头痛标准的敏感性也可以提高。
