Migraine, a poorly understood pathology in childhood
Migraine, a poorly understood pathology in childhood
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DOI：
10.1016/s0929-693x(00)90016-2
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发表时间：
2000-09-01
影响因子：
1.8
通讯作者：
Dumas, C
中科院分区：
文献类型：
--
作者：
Annequin, D;Tourniaire, B;Dumas, C
虽然偏头痛是儿童和青少年的主要慢性头痛，但它仍然被广泛误诊。从示意图上看，偏头痛是一种严重的头痛，由刻板的发作演变而来，经常伴有明显的消化道症状（恶心、呕吐、腹痛）。搏动性疼痛、对声音敏感、轻微（有时有气味）是常见的附加症状。发作前有时会出现视觉或感觉先兆。休息带来缓解，睡眠往往结束攻击。儿童偏头痛的患病率在5%到10%之间。偏头痛发作通常由几个因素触发：情绪压力（学校压力，烦恼，兴奋，心烦意乱），低血糖，睡眠不足或睡眠过度（周末偏头痛），感官刺激（大声噪音，强光，强烈气味，热或冷等），交感神经刺激（运动、体育锻炼）。必须在早期给予发作治疗，特别推荐口服布洛芬（10 mg/kg）。如果由于恶心或呕吐而无法使用口服途径，则必须使用直肠或鼻腔途径。非药物治疗（生物反馈和干预结合渐进性肌肉放松）已被证明是良好的预防措施。在非药物治疗失败后，处方每日预防性药物治疗作为二线治疗。(C)2000年，Elsevier SAS科学与医学版。
Although migraine is the main chronic headache in childhood and adolescence, it remains extensively misdiagnosed. Schematically, migraine is a severe headache evolving by stereotyped attacks frequently associated with marked digestive symptoms (nausea, vomiting, abdominal pain). Throbbing pain, sensitivity to sound, and light land sometimes odors) are frequent additional symptoms. The attack is sometimes preceded by a visual or sensory aura. Rest brings relief, and sleep often ends the attack. Childhood migraine prevalence varies between 5 and 10%. Migraine episodes are frequently triggered by several factors: emotional stress (school pressure, vexation, excitement, upset), hypoglycemia, lack or excess of sleep (weekend migraine), sensory stimulation (loud noise, bright light, strong odor, heat or cold, etc.), sympathetic stimulation (sport, physical exercise). Attack treatments must be given at an early stage, oral ibuprofen (10 mg/kg) being particularly recommended. If the oral route is not available because of nausea or vomiting, rectal or nasal routes have then to be used. Nonpharmacological treatments (biofeedback and interventions combining progressive muscle relaxation) have demonstrated good efficacy as prophylactic measures. Daily prophylactic pharmacological treatments are prescribed as the second line after failure of non-pharmacological treatments. (C) 2000 Editions scientifiques et medicales Elsevier SAS.