儿科催眠性头痛:一个系统的审查
Alessandro Ferretti1, Margherita Velardi2, Claudia Fanfoni1
1Pediatrics Unit, NESMOS Department, Faculty of Medicine and Psychology, Sapienza University, S. Andrea Hospital, Rome, Italy.
Frontiers in neurology
|August 28, 2023
概括
催眠性头痛 (HH) 在儿童中很少见,表现与成人不同. 这篇综述强调了不同的儿科特征,并建议黑激素治疗可能有助于管理这种与睡眠有关的头痛.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
背景情况:
- 催眠性头痛 (HH) 是一种罕见的初级头痛障碍,主要影响成年人,儿童机制不明.
- 本系统性审查的重点是描述儿科HH的临床表现,并将其与成人病例进行比较.
研究的目的:
- 系统地审查和描述儿科催眠头痛的临床特征.
- 为了将儿科HH特征与成人病例进行比较,并评估诊断标准.
- 讨论潜在的病理生理学假设和儿童的治疗选择.
主要方法:
- 对主要医疗数据库 (1988-2023) 进行了全面的系统搜索.
- 在18岁以下的患者中报告HH病例的文章被确定,选,并提取数据.
- 分析了七例儿童的催眠性头痛病例.
主要成果:
- 儿科HH病例表现出与成年人不同的特征,包括痛,发作频率较低,持续时间较短.
- 根据国际头痛疾病分类第三版 (ICHD-3) 标准,儿童的诊断敏感性增加.
- 发病的平均年龄为10岁,诊断延迟显著 (平均15.8个月).
结论:
- 儿科HH表现出独特的临床特征,与成人呈现不同.
- 为了改善诊断和管理,进一步的研究和儿科HH的特定诊断标准至关重要.
- 梅拉尼预防疗法是被诊断患有催眠性头痛的儿童的潜在治疗选择.
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