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Headache in Pediatric and Adolescent Patients With Chronic Kidney Disease and After Kidney Transplantation: A

Eyal Elron1,2, Miriam Davidovits3,2, Tal Eidlitz Markus1,2

  • 1Pediatric Headache Clinic, Day Hospitalization Department, Schneider Children's Medical Center of Israel and Sackler Faculty of Medicine, 58408Tel Aviv University, Tel Aviv, Israel.

Journal of Child Neurology
|April 26, 2022
PubMed

Insights

Headaches are less common in children after kidney transplant compared to those with chronic kidney disease. Lower glomerular filtration and higher phosphate levels were linked to headaches in pediatric kidney patients.

Area of Science:

  • Pediatric Nephrology
  • Neurology
  • Clinical Research

Background:

  • Headaches are a common symptom in the general pediatric population.
  • The prevalence and characteristics of headaches in children with chronic kidney disease (CKD) or post-kidney transplant are not well-defined.
  • Understanding headache patterns in this population is crucial for improving patient care and quality of life.

Purpose of the Study:

  • To compare the prevalence and characteristics of headaches in pediatric patients with CKD versus those who have undergone kidney transplantation.
  • To identify factors associated with headaches in the combined cohort of pediatric kidney patients.

Main Methods:

  • A cohort of 87 children and adolescents with CKD or kidney transplants were interviewed about headache prevalence and characteristics.
  • Hospital charts were reviewed for relevant medical history and laboratory data, including blood tests.
  • Statistical analysis was performed to compare groups and identify associated factors.

Main Results:

  • Twenty-two patients (25.3%) reported experiencing headaches, with migraine being the most common type (68% of headache sufferers).
  • Headache prevalence was significantly higher in children with CKD (36.6%) compared to those post-kidney transplant (15.2%), P=.03.
  • Lower glomerular filtration rate and higher serum phosphate levels were associated with headaches in the overall cohort.

Conclusions:

  • Pediatric kidney transplant recipients exhibit a lower prevalence of headaches than pediatric patients with CKD.
  • The reduced headache rate post-transplantation may be attributed to improved homeostasis and electrolyte balance.
  • These findings highlight the importance of monitoring headaches in pediatric kidney disease and post-transplant care.
Abstract

Keywords:
adolescentchronic renal diseaseheadachekidney transplantationpediatric

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