患有偏头痛或紧张型头痛的儿童的MRI发现
Rabia Tütüncü Toker1, Ilknur Ozdeniz Mutlucan2, Cigdem Tanrıverdi3
1Department of Pediatrics, Division of Pediatric Neurology, University of Health Sciences, Bursa City Training and Research Hospital, Doganköy, Nilüfer, Bursa, +90 506 366, 3796, Turkey. rtutuncutoker@gmail.com.
BMC pediatrics
|August 30, 2023
概括
患有偏头痛或紧张型头痛的儿童的磁共振成像 (MRI) 显示了偶然的发现,最常见的是arachnoid囊. 虽然很少见,但可能会出现二次头痛,这使得底检查对MRI要求至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 神经成像是一种神经成像.
- 头痛 疾病 头痛 疾病
背景情况:
- 偏头痛和紧张型头痛是儿童中普遍存在的主要头痛疾病.
- 患有原发性头痛的儿童面临患有次发性头痛的风险.
- 评估神经成像发现对于准确的诊断和管理至关重要.
研究的目的:
- 评估诊断为偏头痛或张力类型头痛的儿科患者的磁共振成像 (MRI) 发现.
- 为了确定在这个队列中偶然的MRI发现的流行率和类型.
- 了解神经成像在儿童头痛中的临床影响.
主要方法:
- 对280名患有偏头痛或紧张型头痛的儿科患者进行了回顾性分析.
- 在小儿神经病诊所中,患者被跟踪至少两年,最近进行了神经成像.
- 数据收集包括患者人口统计,头痛诊断和MRI结果.
主要成果:
- 状囊是最常见的MRI偶然发现 (14例).
- 其他偶然发现包括垂体腺瘤 (6),超大 (6),松果囊 (3),结症 (2) 和一个脑瘤.
- 在7.7%的偏头痛患者和12.7%的张力型头痛患者中观察到偶然的MRI发现.
结论:
- 甲状腺囊是主要头痛儿童常见的偶发MRI发现.
- 罕见的,危及生命的二次头痛的可能性强调了彻底评估的重要性.
- 除了神经评估外, fundus 检查可以指导儿童头痛患者的MRI 决定.
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