CHILDREN WITH BRAIN-TUMOR HEADACHES
CHILDREN WITH BRAIN-TUMOR HEADACHES
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DOI：
10.1001/archpedi.1982.03970380033008
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发表时间：
1982-01-01
影响因子：
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通讯作者：
CHARNEY, EB
中科院分区：
文献类型：
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作者：
HONIG, PJ;CHARNEY, EB
分析72例脑肿瘤继发头痛患儿的病史、体格检查和头颅X线片，以确定其鉴别特征。在56名儿童中，54%（30）的头颅X线片异常。这些儿童中有68例（94%）在诊断脑肿瘤时出现神经系统或眼部检查异常。60名儿童中有51名（85%）在2个月内出现这些异常。头痛发作的时间早期诊断的线索经常出现在那些病情诊断超过4个月的患者中。在他们头痛发作后对这些发现的认识可能导致72名儿童中的69名（96%）在4个月内被诊断为脑肿瘤。头痛发作的征兆在前4个月。头痛的投诉，儿童应密切监测。
The history, physical examination findings and skull roentgenograms of 72 children with headaches secondary to brain tumors were analyzed to determine distinguishing features. Of 56 children, skull roentgenograms were abnormal in 54% (30). Abnormal findings from the neurologic or ocular examination were present in 68 (94%) of these children at the time of brain tumor diagnosis. These abnormalities developed in 51 of 60 children (85%) within 2 mo. of the onset of their headaches. Clues for earlier diagnosis were frequently present in those patients whose conditions were diagnosed more than 4 mo. after the onset of their headaches. Recognition of those findings could have resulted in the diagnosis of brain tumor in 69 of 72 children (96%) within 4 mo. of the onset of headaches. During the first 4 mo. of headache complaints, children should be monitored closely.