Migren Tanılı Çocukların Değerlendirilmesi: Üç Yıllık Klinik Tecrübe

Year 2023, Volume: 5 Issue: 2, 85 - 89, 28.06.2023

Deniz Karakaya , Hülya Kayılıoğlu , Ülkühan Öztoprak , Çiğdem Genç Sel , Erhan Aksoy , Özge Dedeoğlu , Deniz Yüksel

https://doi.org/10.52827/hititmedj.1160886

Abstract

Giriş: Pediatrik yaş grubundaki baş ağrısı hem genel pediatri hem de pediatrik nöroloji polikliniklerine sık başvuru nedenlerinden biridir. Bu çalışmada amaç, migren tanısı alan olgularımızın klinik ve laboratuvar bulgularını retrospektif olarak değerlendirmektir.
Gereç ve yöntemler: 2013-2016 yılları arasında Dr. Sami Ulus Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi Çocuk Nöroloji Polikliniği'ne başvuran ve migren tanısı alan hastalar çalışmaya dahil edildi. Auralı migren ve aurasız migren alt grupları arasında istatistiksel karşılaştırma yapıldı.
Bulgular: Bu çalışmada, baş ağrısı şikayeti ile başvuran hastaların %11.6'sı migren tanısı almıştır. Migren hastalarının %18.8'inin (n:27) 10 yaş altı, %81.3'ünün (n:117) 10 yaş üzerinde olduğu belirlendi. Kırk dört (%48.4) kadın, 13 (%24.5) erkek hastada auralı migren vardı ve cinsiyet açısından istatistiksel olarak anlamlı fark vardı (p=0.008). Auralı ve aurasız migren hastalarının yaş ve cinsiyet ortalamaları arasında istatistiksel olarak anlamlı fark olduğu görüldü (p<0.05).
Sonuç: Migren, çocukluk döneminde tahmin edilenden daha sık görülen kronik bir hastalık olduğu için. Migren tanısı ile izlenen bir hastamızda ilk başvuruda migren tanısını düşündürebilecek, auralı migren için de yol gösterebilecek bulguların sonuçlarını paylaştık.

Keywords

Başağısı, Migren, Pediatrik

Evaluation of Children with Migraine: Three Years Experience

Abstract

Background: Headache in pediatric age group is one of the common causes of admission to both general pediatrics and pediatric neurology outpatient clinics. The aim in this study was to retrospectively evaluate the clinical and laboratory findings of our cases diagnosed with migraine.
Material and methods: Between 2013 and 2016, patients who applied to the Pediatric Neurology Outpatient Clinic of Dr. Sami Ulus Pediatrics Training and Research Hospital and were diagnosed with migraine were included. Statistical comparison was made between subgroups, which were migraine with aura and migraine without aura.
Results: In present study, 11.6% of the patients who applied with the complaint of headache consisted of patients diagnosed with migraine. It was determined that 18.8% (n:27) of migraine patients were under the age of 10, and 81.3% (n:117) were over the age of 10. Forty-four (48.4%) female patients and 13 (24.5%) male patients had migraine with aura, and there was a statistically significant difference in terms of gender (p=0.008). Also there was a statistically significant difference between the mean age and gender of migraine patients with aura and migraine without aura (p=0.017).
Conclusion: Since migraine is a chronic disease which is observed more frequently than estimated during childhood. We shared the results of the findings that may make us think of the diagnosis of migraine at the first admission, and may also guide us for migraine with aura in a patient followed up with a diagnosis of migraine.

Keywords

pediatric, migraine, headache

References

• 1. Swaiman KF, Ashwal S. Eds. Headaches in infants and children. Pediatric Neurology, 4th ed, St Louis, Missouri. Mosby Pres 2006;1183-1202.
• 2. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd ed. (betaversion). Cephalalgia 2013;33:629-808.
• 3. Şenbil N, Gürer YKY, Aydın ÖF et al. Diagnostic criteria of pediatric migraine without aura. Turk J Pediatr 2006;48:31-37.
• 4. Zwart JA, Dyb G, Holmen TL, et al. The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord- Trondelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study. Cephalalgia. 2004;24:373-9.
• 5. Zencir M, Ergin H, Sahiner T, et al. Epidemiology and symptomatology of migraine among school children: Denizli urban area in Turkey. Headache 2004;44:780-785.
• 6. Ozge A, Bugdayci R, Sasmaz T, et al. The sensitivity and specificity of the case definition criteria in diagnosis of headhache: a school-based epidemiological study of 5562 children in Mersin. Cephalalgia 2003;23(2):138-145.
• 7. Bille BS. Migraine in school children. A study of the incidence and short-term prognosis, and a clinical, psychological and electroencephalographic comparison between children with migraine and matched controls. Acta Paediatr Suppl. 1962;136:1-151.
• 8. Bener A, Uduman S.A, Qassimi E.M.A. Genetic and Enviromental Factors Associated With Migraine in Schoolchildren. Headache 2000;40:152-157.
• 9. Mortimer MJ, Kay J, Jaron A.Epidemiology of headhache and childhood migraine in aqn urban general practice using Ad Hoc Vahlqurt and I criteria. Dev Med Child Neurol 1992;34:1095-1101.
• 10. Barea LM,Tannhauser M,Rotta NT.An epidemiological study of headhache among children and adolescents ot southern Brazil. Cephalalgia1996;16:545-549.
• 11. Abu-Arafeh I, Russel G. Prevalance of headhache and migraine in scholl children. BMJ 1994;309:765-769.
• 12. Friedman AP, Finley KH, Graham JR. Classification of headache. Arch Neurol 1962;6:173-176.
• 13. Naoki Ando, Shinji Fujimato, Tatsuya Ishikawa, et al. Prevalence and features of migraine in Japanes junior high school students aged 12-15. Brain & Development. 2007;29:482- 485.
• 14. Mavromichalis I, Anagnostopoulos D, Metxas N, et al. Prevalence of migraine in schoolchildren and some clinical comparisons between migraine whit and whitout aura. Headhache 1999;39:728-36.
• 15. Eidlitz-Markus T, Gorali O, Haimi-Cohen Y et al. Symptoms of migraine in the pediatric population by age group. Cephalalgia 2008;28:1259-1263
• 16. Winner P, Rothner AD. Headache in children and adolescents. Hamilton, Ont.; London: B C Decker; 2001.
• 17. Breslau N, Rasmussen BK, The impact of migraine Epidemiology, risk factors, and co-morbidities. Neurology 2001;56:4-12.
• 18. Mauromichalis I, Anagnostopoulos D, Metuksas N. Prevalance of migraine in schoolchildren and some clinical comparisons between migraine with and without aura. Headache 1999;39(10):728-36.
• 19. Gallai V, Sarchielli P, Carboni F et al. Applicability of the 1988 IHCD criteria to headache patients under the age of 18 years attending 2 Italian headache clinics. Headache 1995;35:146-153.
• 20. Hershey, A.D. Use of the ICHD-II criteria in the diagnosis of pediatric migraine. Headache, 2005;45(10):1288-97.
• 21. Metta A, Tfelt-Hansen P. Acute migraine therapy: Recent evidence from randomized Comparative trails. Current Opinion in Neurology 2008;21:331–337.
• 22. Şenbil N, Aysun S. Çocukluk çağı başağrıları. Çocuk Nörolojisi’nde (1. Baskı). Ankara, Alp Ofset Matbaacılık 2006;110-142.
• 23. Prensky AL, Sofnmer D. Diagnosis and treatment of migraine in children. Neurology 1979;29:506-510.
• 24. Parain D, Hitzel A, Guegan-Massardier E, et al. Migraine aura lasting 1-24 h in children: a sequence of EEG slow-wave abnormalities vs. vascular events. Cephalalgia. 2007;27:1043-9.
• 25. Aguggia M. Neurophysiological tests in primary headaches. Neurol Sci. 2004;25:203-5.