Okul Çağı Çocuklarında Migren ve Episodik Gerilim Tipi Başağrısı: Prevalans ve Karşılaştırmalı Klinik Bulgular

Amaç: 6-17 yaş arası okul çocuklarında, migren ve episodik gerilim tipi başağrısının EGBA demografik ve klinik özelliklerini değerlendirmek ve karşılaştırmak.Gereç ve Yöntemler: Bu okul tabanlı, kesitsel, analitik çalışmada çok aşamalı örnekleme yöntemi kullanıldı. Ankara ilinde, Uluslararası Başağrısı Derneği UBD sınıflandırmasını esas alarak oluşturulmuş anketi tam olarak dolduran 5229 öğrenci çalışmaya alındı.Bulgular: Son bir yıl içinde tekrarlayıcı başağrısı, migren, EGBA prevalansı sırasıyla %64,8, %9,3, %1,8 olarak bulundu. Migren %56 ve EGBA %53,8 kızlarda daha fazla gözlendi. Yaş, cinsiyet, aile öyküsü, analjezik kullanımı, ağrının taraf durumu ve yerleşimi açısından migren ve EGBA grubu arasında anlamlı fark yoktu p>0,05 . Her iki grupta da ağrı çoğunlukla iki taraflıydı ve en sık frontal yerleşimliydi. En sık eşlik eden belirti her iki grupta da fonofobi idi. Ondan fazla atak sayısı, bir saatten kısa süren ataklar, baskı tarzında ağrı ve hafif şiddette ağrı EGBA grubunda; zonklayıcı tarzda ağrı, orta veya ağır şiddette ağrı, fiziksel aktivite ile ağrıda artma, ağrıya eşlik eden bulantı, kusma, fotofobi, görsel ve duyusal belirtiler migren grubunda anlamlı olarak daha fazlaydı p

Anahtar Kelimeler:

Ergen, Gerilim tipi başağrısı, Migren, Okul çağı çocukları, Prevalans

Migraine and Episodic Tension Type Headache in School Children: Prevalence and Comparative Clinical Findings

Objective: To evaluate and compare the demographic and clinical characteristics of migraine and episodic tension type headache ETTH in school children aged 6-17 years.Material and Methods: Stratified sampling was used in this school based, cross sectional, analytic study. A total of 5229 students from the city of Ankara who fully completed a questionnaire based on the International Headache Society Classification Criteria were included in the study.Results: The prevalence of recurrent headache, migraine, and ETTH were 64.8%, 9.3%, and 1.8% respectively. Migraine 56% and ETTH 53.8% were more frequent in female subjects. There was no significant difference between the migraine and ETTH groups with respect to age, sex, family history, analgesic use, and the localization and laterality of the headache p>0,05 . In both groups, the pain was mostly bilateral and the most common localization was the frontal region. The most frequent co-existing symptom was phonophobia in both groups. More than 10 attacks, attacks lasting less than one hour, pressing pain and mild pain were significantly more frequent in the ETTH group whereas throbbing pain, moderate or severe pain, and visual and sensory symptoms were significantly more frequent in the migraine group p

Keywords:

Adolescent, Tension type headache, Migraine, School children, Prevalence,

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Barea LM, Tannhauser M, Rotta NT. An epidemiologic study of headache among children and adolescents of Southern Brazil. Cephalalgia 1996;16:545.
Abu-Arafeh I, Razak S, Sivaraman B, Graham C. Prevalence of headache and migraine in children and adolescents: A systematic review of population-based studies. Dev Med Child Neurol 2010;52(12):1088-97.
Strasburger VC, Brown RT, Braverman PK, Rogers PD, Holland-Hall C, Coupey SM. Headache. In: Adolescent Medicine a Handbook for Primary Care. Philadelphia: Lippincott Williams & Wilkins, 2006.p.25.
Van der Wouden JC, van der Pas P, Bruijnzeels MA, Brienen JA, van Suijlekom-Smit LW. Headache in children in Dutch general practice. Cephalalgia 1999;19(3):147-50.
Kernick D, Stapley S, Campbell J, Hamilton W. What happens to new-onset headache in children that present to primary care? A case-cohort study using electronic primary care records. Cephalalgia 2009;29(12):1311-6.
Zwart J-A, Dyb G, Holmen TL, Stovner LJ, Sand T. The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trİndelag Health Study (Head-HUNT-Youth), a large population- based epidemiological study. Cephalalgia 2004;24:373-9.
Kroner-Herwig B, Heinrich M, Morris L. Headache in German children and adolescents: A population-based epidemiological study. Cephalalgia 2007;27:519-27.
Ozge A, Bŭgdayci R, Saşmaz T, Kaleăgasi H, Kurt O, Karakelle A, Tezcan H, Siva A. The sensitivity and specificity of the case definition criteria in diagnosis of headache: A school- based epidemiological study of 5562 children in Mersin. Cephalgia 2003;23: 138-45.
Zencir M, Ergin H, Sahiner T, Kiliç I, Alkiş E, Ozdel L, Gürses D, Ergin A. Epidemiology and symptomatology of migraine among school children: Denizli Urban Area in Turkey. Headache 2004;44:780-5.
Key FN, Donmez S, Tuzun U. Epidemiological and clinical characteristics with psychosocial aspects of tension-type headache in Turkish college students. Cephalalgia 2004;24:669-74.
Koseoglu E, Nacar M, Talaslioglu A, Cetinkaya F. Epidemiological and clinical characteristics of migraine and tension type headache in 1146 females in Kayseri, Turkey. Cephalalgia 2003;23:381-8.
Unalp A, Dirik E, Kurul S. Prevalence and clinical findings of migraine and tension-type headache in adolescents. Pediatr Int 2007;49:943-9.
Poyrazoğlu HG, Kumandas S, Canpolat M, Gümüs H, Elmali F, Kara A, Per H. The prevalence of migraine and tension-type headache among schoolchildren in Kayseri, Turkey: An evaluation of sensitivity and specificity using multivariate analysis. J Child Neurol 2015;30:889-95.
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders. 2nd ed. Cephalalgia 2004;24Suppl 1:16-151.
Abu-Arefeh I, Russell G. Prevalence of headache and migraine in school children. BMJ 1994;309:765-9.
Laurell K, Larsson B, Eeg-Olofsson O. Headache in schoolchildren: Agreement between different sources of information. Cephalalgia 2003;23:420-8.
Rasmussen BK, Jensen R, Olesen J. Questionnaire versus clinical interview in the diagnosis of headache. Headache 1991;31:290-5.
Laurell K, Larsson B, Eeg-Olofsson O. Prevalence of headache in Swedish schoolchildren, with a focus on tension-type headache. Cephalalgia 2004;24:380-8.
Fendrich K, Vennemann M, Pfaffenrath V, Evers S, May A, Berger K, Hoffmann W. Headache prevalence among adolescents - the German DMKG headache study. Cephalalgia 2007;27:347-54.
Al Jumah M, Awada A, Al Azzam S. Headache Syndromes Amongst School children in Riyadh, Saudi Arabia. Headache 2002; 42:281-6.
Anttila P, Metsähonkala L, Aromaa M, Sourander A, Salminen J, Helenius H, Alanen P, Sillanpää M. Determinants of tension-type headache in children. Cephalalgia 2002;22:401-8.
Akyol A, Kiylioglu N, Aydin I, Erturk A, Kaya E, Telli E, Akyildiz U. Epidemiology and clinical characteristics of migraine among school children in the Menderes region. Cephalalgia 2007;27: 781-7.
Bille B. Migraine in school children. Acta Paediatr Scand 1962; 51: 1-151.
Sillanpaa M. Prevalence of migraine and other headache in Finnish children starting school. Headache 1976;15: 288-90.
Pothman R, Frankenberg SV, Muller B, Sartory G, Hellmeier W. Epidemiology of headache in children and adolrscents: evidence of high prevalence of migraine among girls under 10. Int J Behav Med 1994;1:76-89.
Bugdayci R, Ozge A, Sasmaz T, Kurt AO, Kaleagasi H, Karakelle A, Tezcan H, Siva A. Prevalence and factors affecting headache in Turkish schoolchildren. Pediatrics International 2005;47:316-22.
Karli N, Akiş N, Zarifoğlu M, Akgöz S, Irgil E, Ayvacioğlu U, Calişir N, Haran N, Akdoğan O. Headache prevalence in adolescents aged 12 to 17: A student-based epidemiological study in Bursa. Headache 2006;46:649-55.
Shivpuri D, Rajesh MS, Jain D. Prevalence and characteristics of migraine among adolescents: A questionnaire survey. Indian Pediatr 2003;40:665-9.