The evaluation of the causes of headache in a pediatric population

Başağrısı pediyatrik nöroloji polikliniklerinden en sık konsültasyon istenme nedenlerinin başında gelmektedir. Başağrısının doğru sınıflandırılması ve doğru tanının konması uygun tedavinin seçilmesi bakımından çok önemlidir. Bu çalışmada başağrısı yakınması ile gelen bir grup hasta değerlendirilerek çocukluk yaş grubunda başağrılarının etiyolojik nedenlerinin araştırılması amaçlanmıştır.Başağrısı olan 147 hastanın klinik ve laboratuvar bulguları retrospektif olarak değerlendirilmiştir. Başağrıları "Revised International Headache Society" kriterlerine göre sınıflandırılmıştır. Hastalar yaşlarına göre grup 1 3-10 yaş ve grup 2 11-18 yaş olacak şekilde iki gruba ayrılmıştır. Sistemik ve nörolojik muayene ve laboratuvar bulguları kaydedilmiştir. Çalışmaya alınan hastaların 53'ü (%36.1) erkek, 94'ü (%63.9) kız olup yaş ortalamaları 12.6±3.3 (3-18) yaş idi.Başağrısı grup 2'de daha fazla idi. Yüz kırk yedi hastadan 71'inde (48.3) migren, 41'inde (%27.9) gerilim tipi başağrısı 25'inde (%17) sinüzit, 5'inde (%3.4) posttravmatik başağrısı, 3'ünde (%2) intrakraniyal kitle, 1'inde (%0.7) trigemirıa; nevralji ve 1'inde (%0.7) venöz sinüs trombozu saptandı. Migren ve gerilim tipi başağrısı kızlarda daha sık görülmektedir.Sonuç olarak, bu çalışma başağrısı sıklığının yaşla birlikte arttığını ve migrenin çocukluk çağı başağrılarının en sık nede. ni olup kızlarda daha sık olarak görüldüğünü göstermiştir.

Anahtar Kelimeler:

Geriyedönük çalışma, Çocuk, Baş ağrısı, Pediatri, Migren bozuklukları

Pediyatrik bir hasta grubunda başağrısına neden olan etiyolojik faktörlerin değerlendirilmesi

Headache is a common reason for consultation in pediatric neurology clinics. Right classification of the headache type is important for choosing the most appropriate treatment. In this study, we aim to determine the etiological factors related to headache types in pediatric age groups in a pediatric population with the complaint of headache.The clinical and laboratory findings of 147 patients with headache were reviewed retrospectively. Revised International Headache Society criteria were used for the classification of the patients. The patients were divided into 2 groups according to their ages: group 1 patients between 3-10 years of age; group 2 patients between 11-18 years of age. The findings of systemic and neurological examinations and the results of the laboratory tests were noted.There were 53(36.1%) males and 94(63.9%) females in the study. The mean age of the patients was 12.6±3.3 years (range 3-18). Headache was found more frequent in group 2. Of the 147 patients 71(48.3%) had migraine, 41(27.9%) had tension-type headache, 25(17%) had sinusitis, 5(3.4%) had posttraumatic headache, 3(2%) had intracranial mass, 1(0.7%) had trigeminal neuralgia and 1(0.7%) had venous sinus thrombosis. Migraine and tension-type headaches were more frequently seen in females. We conclude that the frequency of headache increases with age and migraine is the most frequent cause of recurrent headache in children. Girls are usually more often affected.

Keywords:

Retrospective Studies, Child, Headache, Pediatrics, Migraine Disorders,

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