Clinical Characteristics of Patients Presenting to Child Neurology Outpatient Clinic with Headache: A Single Center Experience

Year 2025, Volume: 27 Issue: 2, 130 - 136, 30.08.2025

Canan Üstün , Pınar Ozbudak , Elif Perihan Öncel , Deniz Menderes , Bahadır Konuşkan

https://doi.org/10.18678/dtfd.1591505

Abstract

Aim: This study aimed to investigate the clinical and etiological characteristics of children presenting with headache, considering both acute and chronic cases. By distinguishing between primary and secondary headaches, it was aimed to assess the prevalence of underlying pathologies and determine the necessity of further diagnostic evaluations.
Material and Methods: The records of 500 patients aged 3-17 years who visited a tertiary pediatric neurology clinic between January 2023 and January 2024 were retrospectively reviewed. Data included age, gender, pain characteristics, associated symptoms, headache subtypes, neuroimaging findings, and treatments. Headaches were classified according to the International Headache Society criteria.
Results: Among the patients, 64.8% (n=324) were female. Acute headaches were present in 137 (27.4%) patients, while 363 (72.6%) patients had chronic headaches. Secondary causes were identified in 56.2% (n=77) of acute headaches, most commonly sinusitis (36.5%, n=50) and hypertension (12.4%, n=17). Among primary acute headaches, migraine (23.4%, n=32) and tension-type headache (20.4%, n=28) were the leading diagnoses. Overall, in all 500 patients, migraine (28.6%, n=143) was the most common diagnosis, followed by tension-type headache (27.8%, n=139). Refractive errors and hypertension were observed in 4.6% (n=23). Idiopathic intracranial hypertension was also diagnosed in 0.8% (n=4).
Conclusion: Most childhood headaches are primary and manageable with a detailed history and physical examination. However, secondary causes such as sinusitis, hypertension, and nutritional deficiencies should be considered in the differential diagnosis. Neuroimaging and laboratory evaluations are recommended for patients with abnormal findings. Understanding headache etiology can improve diagnosis, management, and quality of life.

Keywords

Headache , migraine , tension-type headache , child , pediatric neurology

Baş Ağrısı ile Çocuk Nöroloji Polikliniğine Başvuran Hastaların Klinik Özellikleri: Tek Merkez Deneyimi

Abstract

Amaç: Bu çalışmanın amacı, hem akut hem de kronik olguları göz önünde bulundurarak baş ağrısı ile başvuran çocukların klinik ve etiyolojik özelliklerini araştırmaktır. Primer ve sekonder baş ağrıları arasındaki ayrımı yaparak, altta yatan patolojilerin prevalansını değerlendirmek ve ileri tanı yöntemlerinin gerekliliğini belirlemek amaçlanmıştır.
Gereç ve Yöntemler: Ocak 2023 ile Ocak 2024 tarihleri arasında üçüncü basamak bir pediatrik nöroloji kliniğine başvuran 3-17 yaş arası 500 hastanın kayıtları geriye dönük olarak incelendi. Veriler, yaş, cinsiyet, ağrı özellikleri, eşlik eden semptomlar, baş ağrısı alt tipleri, nörogörüntüleme bulguları ve tedavi bilgilerini içermekteydi. Baş ağrıları, Uluslararası Baş Ağrısı Derneği kriterlerine göre sınıflandırıldı.
Bulgular: Hastaların %64,8'i (n=324) kadındı. Akut baş ağrısı 137 (%27,4) hastada, kronik baş ağrısı 363 (%72,6) hastada mevcuttu. Akut baş ağrılarının %56,2'sinde (n=77) sekonder nedenler, en sık sinüzit (%36,5, n=50) ve hipertansiyon (%12,4, n=17), belirlendi. Primer akut baş ağrıları arasında migren (%23,4, n=32) ve gerilim tipi baş ağrısı (%20,4, n=28) önde gelen tanılardı. Genel olarak, 500 hastada migren (%28,6, n=143) en sık tanı iken, bunu gerilim tipi baş ağrısı (%27,8, n=139) takip etti. Refraksiyon kusurları ve hipertansiyon %4,6 (n=23) oranında gözlendi. Ayrıca %0,8 (n=4) idiyopatik intrakranial hipertansiyon tanısı konuldu.
Sonuç: Çocukluk çağı baş ağrılarının çoğu primer nedenlidir ve ayrıntılı öykü ve fizik muayene ile yönetilebilir. Ancak sinüzit, hipertansiyon ve nutrisyonel eksiklikler gibi sekonder nedenler ayırıcı tanıda dikkate alınmalıdır. Anormal bulguların varlığında nörogörüntüleme ve laboratuvar testleri önerilmektedir. Baş ağrısının etiyolojisini anlamak tanı, tedavi ve yaşam kalitesini iyileştirmeye katkı sağlayabilir.

Keywords

Baş ağrısı , migren , gerilim tipi baş ağrısı , çocuk , pediatrik nöroloji

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