Okul Çağı Çocuklarında Migren ve Episodik Gerilim Tipi Başağrısı: Prevalans ve Karşılaştırmalı Klinik Bulgular

Öz

Amaç: 6-17 yaş arası okul çocuklarında, migren ve episodik gerilim tipi başağrısının EGBA demografik ve klinik özelliklerini değerlendirmek ve karşılaştırmak.Gereç ve Yöntemler: Bu okul tabanlı, kesitsel, analitik çalışmada çok aşamalı örnekleme yöntemi kullanıldı. Ankara ilinde, Uluslararası Başağrısı Derneği UBD sınıflandırmasını esas alarak oluşturulmuş anketi tam olarak dolduran 5229 öğrenci çalışmaya alındı.Bulgular: Son bir yıl içinde tekrarlayıcı başağrısı, migren, EGBA prevalansı sırasıyla %64,8, %9,3, %1,8 olarak bulundu. Migren %56 ve EGBA %53,8 kızlarda daha fazla gözlendi. Yaş, cinsiyet, aile öyküsü, analjezik kullanımı, ağrının taraf durumu ve yerleşimi açısından migren ve EGBA grubu arasında anlamlı fark yoktu p>0,05 . Her iki grupta da ağrı çoğunlukla iki taraflıydı ve en sık frontal yerleşimliydi. En sık eşlik eden belirti her iki grupta da fonofobi idi. Ondan fazla atak sayısı, bir saatten kısa süren ataklar, baskı tarzında ağrı ve hafif şiddette ağrı EGBA grubunda; zonklayıcı tarzda ağrı, orta veya ağır şiddette ağrı, fiziksel aktivite ile ağrıda artma, ağrıya eşlik eden bulantı, kusma, fotofobi, görsel ve duyusal belirtiler migren grubunda anlamlı olarak daha fazlaydı p

Anahtar Kelimeler

• Ergen, Gerilim tipi başağrısı, Migren, Okul çağı çocukları, Prevalans

Migraine and Episodic Tension Type Headache in School Children: Prevalence and Comparative Clinical Findings

Abstract

Objective: To evaluate and compare the demographic and clinical characteristics of migraine and episodic tension type headache ETTH in school children aged 6-17 years.Material and Methods: Stratified sampling was used in this school based, cross sectional, analytic study. A total of 5229 students from the city of Ankara who fully completed a questionnaire based on the International Headache Society Classification Criteria were included in the study.Results: The prevalence of recurrent headache, migraine, and ETTH were 64.8%, 9.3%, and 1.8% respectively. Migraine 56% and ETTH 53.8% were more frequent in female subjects. There was no significant difference between the migraine and ETTH groups with respect to age, sex, family history, analgesic use, and the localization and laterality of the headache p>0,05 . In both groups, the pain was mostly bilateral and the most common localization was the frontal region. The most frequent co-existing symptom was phonophobia in both groups. More than 10 attacks, attacks lasting less than one hour, pressing pain and mild pain were significantly more frequent in the ETTH group whereas throbbing pain, moderate or severe pain, and visual and sensory symptoms were significantly more frequent in the migraine group p

Keywords

• Adolescent, Tension type headache, Migraine, School children, Prevalence

Kaynakça

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