Fatma OĞUZ, Fatih AYGÜN, Ayşegül ÜNÜVAR, Nurver AKINCI, Ayşe KILIÇ, Burak TATLI, Emin ÜNÜVAR, Müjgan SIDAL

Çocuklarda Baş Ağrısına Dikkat: Hipertansiyon ve Serebellar Kanama Tanılı İki Vaka Sunumu

Baş ağrısı çocukluk çağında en sık görülen ağrılardan biridir. Yedi yaşından küçük çocuklarda baş ağrısı preve- lansı % 50’lere varan oranlardadır ve 15 yaşındaki çocukların % 75-80’i en az bir kez baş ağrısı ile tanışmış- tır. Baş ağrısı migren gibi primer nedenlere bağlı olabildi- ği gibi, intrakranial tümör veya kanama gibi daha ciddi sekonder nedenlerlede ortaya çıkabilir. Ayrıca, çocuklar- daki kronik ve yineleyen baş ağrıları çoğunlukla migren ve gerilim tipi gibi selim nedenlere bağlı olmakla beraber, santral sinir sistemi infeksiyonları, sistemik hastalıklar veya kafaiçi basınç artışı gibi ciddi organik durumlarda da ortaya çıkabilir. Baş ağrısı ile başvuran iki vaka sunula- rak, konuya dikkat çekmek amaçlanmıştır. Bu makalede 7 yaşından beri yineleyen kronik baş ağrıları olan ve ancak 15 yaşında hipertansif olduğu anlaşılan erkek hasta ile 3 haftadır baş ağrısı yakınması ile başvuran ve serebellar hematom tanısı almış 10 yaşındaki kronik immun trombo- sitopenik purpuralı kız hasta sunuldu. Baş ağrısı ile polik- liniğe başvuran çocuklarda akut, kronik ve primer, sekon- der baş ağrısı ayırımı yapılarak hastalara yaklaşılmalı; öykü ve ayrıntılı sistemik muayeneye önem verilmelidir

Anahtar Kelimeler:

Baş ağrısı, hipertansiyon, intrakranial kanama, kronik immun trombositopenik purpura

Attention to Headache in Children: Two Case with Hypertension and Cerebellar Hemorrhage

Headache is one of the most commonly seen pain in child- hood. Headache prevalence is approximately 50 % in the first seven years and almost 75-80 % of children experien- ce once until 15 years old. Headache can be primary such as migrane or ıt can be secondary to a serious disease such as intracranial bleeding or intracranial tumors. The cause of chronic and repeating one is mostly due to benign dise- ases, it can be migrane or tension type headache; but also it can occur secondary to systemic diseases, intracranial infections or intracranial bleeding. Two patients admitted with headache will be presented, intended to draw attenti- on to issues. A boy who was diagnosed to have hypertensi- on at age of 15 with chronical headaches repeating since his age of 7 and 10-year-old girl with chronical immune thrombocytopenic purpura who suffered headaches for 3 weeks and was diagnosed cerebellar hematome have been represented in this study. Headache in children who were admitted to the clinic with acute, chronic and primary, secondary headache patients approached the distinction should be made, stories and detailed examination of syste- mic importance should be given

Keywords:

Headache, hypertension, intracranial hemorrhage, chronic immun thrombocytopenic purpura,

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