Clinical features of primary headache in children:: a multicentre hospital-based study in France
Clinical features of primary headache in children:: a multicentre hospital-based study in France
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DOI：
10.1111/j.1468-2982.2008.01656.x
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发表时间：
2008-11-01
期刊：
影响因子：
4.9
通讯作者：
Vallee, L.
中科院分区：
文献类型：
--
作者：
Cuvellier, J-C;Donnet, A.;Vallee, L.
本研究的目的是评价儿童和青少年原发性头痛的临床诊断与国际头痛疾病分类第二版（ICHD-II）之间的一致性。这项为期6个月的前瞻性多中心研究纳入了486例患者（平均年龄9.8 ± 3.1岁; 52.6%为女孩），通过结构化问卷评估头痛特征。在398例单一类型头痛患者中，双侧头痛（78.1%）、额侧头痛（62.4%）、搏动性头痛（56.1%），伴相关症状者占84.4%。最常见的诊断为无先兆偏头痛（50.8%）、可能偏头痛（14.1%）、有先兆偏头痛（11.1%）和频繁发作的紧张型头痛（7.5%）。对于大多数诊断类别，研究者的诊断与ICHD-II标准的一致性良好（kappa > 0.6和0.8）。我们的结论是偏头痛是主要的头痛诊断再分配和ICHD-II似乎在实践中可用的评价原发性头痛在法国儿童和青少年。
The aim of this study was to evaluate the concordance between clinical diagnosis and the International Classification of Headache Disorders, 2nd edn (ICHD-II) in children and adolescents with primary headaches. This 6-month prospective multicentre study of 486 patients (mean 9.8 +/- 3.1 years; 52.6% girls) assessed the headache features through a structured questionnaire. In 398 patients with a single type of headache, headaches were bilateral (78.1%), frontal (62.4%), pulsatile (56.1%), with associated symptoms in 84.4%. The most frequently assigned diagnoses were migraine without aura (50.8%), probable migraine (14.1%), migraine with aura (11.1%) and frequent episodic tension-type headache (7.5%). For most of the diagnostic categories, the consistency of the investigator's diagnosis with the ICHD-II criteria was good (kappa > 0.6 and 0.8). We conclude that migraine was predominant with regard to headache diagnoses repartition and that the ICHD-II seems usable in practice for evaluation of primary headache in French children and adolescents.