Idiopathic stabbing headache: clinical characteristics of children and adolescents
Idiopathic stabbing headache: clinical characteristics of children and adolescents
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DOI：
10.1016/s0387-7604(02)00216-4
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发表时间：
2003-06-01
影响因子：
1.7
通讯作者：
Faienza, C
中科院分区：
文献类型：
--
作者：
Fusco, C;Pisani, F;Faienza, C
在儿童和青少年中报告的短暂头痛病例很少。本研究的目的是描述一组儿童年龄组的短期头痛发作患者，并证明他们不容易根据现有的成人标准进行分类。我们描述了23个主题回顾，12个队友和I I女性，短暂的头痛发作，刺伤的性质，自限性，持续几秒钟到15分钟。这个样本是从一个总人口的548名儿童和青少年提到我们的儿科头痛单位在1995年至1999年。平均发病年龄为9岁。60%的患者头痛位于双侧，40%位于单侧。疼痛为眼眶或太阳穴单灶性（60%）或多灶性（40%）。在24%的儿童中，发作间期清醒EEG显示罕见的后部慢波。在12例患者中，我们使用了扑热息痛，反应良好。虽然这些疼痛发作与成人形式的特发性刺痛性头痛有某些共同之处，但它们的发作持续时间不同，并且在出现时或随后的2年内，其他原发性头痛综合征并不伴随它们。短暂的头痛发作存在于儿科年龄组，并且根据国际头痛协会标准不易分类。其性质和与偏头痛的相关性尚不清楚。我们建议对这些受试者进行随访，以更好地描述儿科年龄组中这些形式头痛的自然史。(C)2003 Elsevier Science B.V.保留所有权利。
Very few cases of short-lasting headaches have been reported in children and adolescents. The aim of this study is to describe a group of patients in the pediatric age group with short attacks of head pain and to demonstrate that they are not easily classified according to existing criteria for adults. We describe 23 subjects in retrospect, 12 mates and I I females, with brief attacks of headache, stabbing in nature, self-limited, lasting from a few seconds to 15 min. This sample was taken from a total population of 548 children and adolescents referred to our Pediatric Headache Unit during the years 1995-1999. Mean age at onset of symptomatology was 9 years. The localization of the headache was bilateral in 60% of the patients and unilateral in 40%. The pain was either unifocal at the orbit or temple (60%) or multifocal (40%). In 24% of the children, the interictal awake EEG showed infrequent posterior slow-waves. In 12 patients we used paracetamol with a good response. Although these painful episodes shared some aspects with the adult form of idiopathic stabbing headache, they had different durations of attack, and other primary headache syndromes did not accompany them either at the time of presentation or during the following 2 years. Short attacks of headache are present in the pediatric age group and are not easily classified according to the International Headache Society criteria. Their nature and correlation with migraine remains unclear. We propose follow-up of these subjects to obtain a better description of the natural history of these forms of headache in the pediatric age group. (C) 2003 Elsevier Science B.V. All rights reserved.