Metsähonkala L, Sillanpää M, Tuominen J
Department of Child Neurology, Turku University, Finland.
Headache. 1997 Apr;37(4):240-4. doi: 10.1046/j.1526-4610.1997.3704240.x.
The usefulness of a headache diary in the diagnosis of migraine and in the clarification of migraine symptoms was studied in 145 children. These children belong to a 1-year age cohort of 5356 children that has been followed since birth. The children were enrolled in the present study according to their headache status in a questionnaire study at the age of 8 to 9 years, at which time 50 children had migraine, 43 had nonmigrainous headache, and 52 did not have recurrent headache. Information on their present headache status was collected with a face-to-face interview at the age of 11 to 13 years and from a headache diary after the interview. The children kept the diary for 2 to 7 months. Altogether, 72 children had migraine according to the International Headache Society criteria for migraine, either in the interview or in the diary. Eight children were diagnosed only according to the diary (11.1%). Thirty-three children had both migraine attacks and nonmigrainous headache episodes according to the diary, even though they were able to report only one type of headache episode in the interview. The duration of headache episodes was underestimated in the interview, compared to the diary, in the children with migraine. Many children recognized new aura symptoms, associated symptoms, and characteristics of pain when they started to pay attention to these when filling in the diary during the follow-up period. The headache diary is useful in clarifying the features of headache attacks and in the diagnosis of headache types in children.
对145名儿童进行了研究，以探讨头痛日记在偏头痛诊断及偏头痛症状阐明方面的作用。这些儿童来自一个自出生起就开始跟踪的、年龄跨度为1年的5356名儿童队列。根据他们在8至9岁时问卷调查中的头痛状况，将这些儿童纳入本研究，当时有50名儿童患有偏头痛，43名儿童患有非偏头痛性头痛，52名儿童没有复发性头痛。在11至13岁时通过面对面访谈收集他们当前头痛状况的信息，并在访谈后通过头痛日记收集相关信息。孩子们记录日记的时间为2至7个月。根据国际头痛协会的偏头痛标准，总共72名儿童在访谈或日记中被诊断为患有偏头痛。8名儿童仅根据日记被诊断出患有偏头痛（11.1%）。根据日记，33名儿童既有偏头痛发作又有非偏头痛性头痛发作，尽管他们在访谈中只能报告一种类型的头痛发作。与日记相比，偏头痛患儿在访谈中对头痛发作持续时间的估计偏低。在随访期间，许多儿童在填写日记时开始关注这些症状后，识别出了新的先兆症状、相关症状和疼痛特征。头痛日记有助于阐明头痛发作特征及儿童头痛类型的诊断。
