Migren Tanılı Çocukların Değerlendirilmesi: Üç Yıllık Klinik Tecrübe

Yıl 2023, Cilt: 5 Sayı: 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

Öz

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.

Anahtar Kelimeler

Başağısı, Migren, Pediatrik

Evaluation of Children with Migraine: Three Years Experience

Öz

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.

Anahtar Kelimeler

pediatric, migraine, headache

Kaynakça

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