Neuroradiological imaging in childhood headache

Yıl 2012, Cilt: 3 Sayı: 1, 10 - 13, 31.07.2012

Mustafa Kayan , Ergün Ceylan , Memduh Kerman

Öz

-

Anahtar Kelimeler

-

Çocukluk Çağı Baş Ağrısında Nöroradyolojik Görüntüleme

Öz

Headache is a common symptom in pediatric practice. Evaluation and diagnosis of headache are difficult by physicians. However, there are some reports that headache can be sign of intracranial pathological degeneration in adult by radiological techniques although there is scarce report in childhood headache. We aimed to determine the etiology of headache in childhood period without neurological symptoms etiology in the east Anatolia region of Turkey by computerize tomography (CT) scan and magnetic resonance imaging (MRI). A total of 134 children with headache in childhood period (ranged in age from 3 to 15 years, the mean age; 12.9±0.6 years) were investigated by CT scan and MRI. CT and MRI scan were performed in 124 and 10 patients within one year period, respectively. MRI was performed with 0,3 T equipment although CT was performed with multidetector equipment. We found radiological abnormalities in ten patients (%7.46). Six and four abnormalities of the ten patients on CT and MRI were detected, respectively. We detected 5 patients with sinusitis, one patient with arachnoid cyst, one patient with demyelinated foci, one patient with lacunar infarct, one patient with communicant hydrocephalus and one patient with germ cell tumor. The most frequent radiological abnormality in children was sinusitis. The radiological abnormalities were detected higher in MRI investigation than in CT scan.
In conclusion, we observed that MRI might be used in findings of the patients with complicated headache in childhood period without neurological symptoms.

Anahtar Kelimeler

Çocukluk çağı baş ağrısı, Bilgisayarli tomografi, Manyetik rezonans görüntüleme, Sinüzit, Kitle

Kaynakça

• Seol HJ, Wang KC, Kim SK, Hwang YS, Kim KJ, Cho BK. Headache in pediatric moyamoya disease: review of 204 consecutive cases. J Neurosurg. 2005 Nov;103(5 Suppl):439–42.
• Stevenson SB. Epilepsy and migraine headache: is there a connection? J Pediatr Health Care. 2006 May–Jun;20(3):167–71.
• Wilne SH, Ferris RC, Nathwani A, Kennedy CR. The presenting features of brain tumours: a review of 200 cases. Arch Dis Child. 2006 Jun;91(6):502–6.
• Bryan S, Weatherburn G, Bungay H, Hatrick C, Salas C, Parry D, et al. The cost–effectiveness of magnetic resonance imaging for investigation of the knee joint. Health Technol Assess. 2001;5(27):1–95.
• Yalcin O, Yildirim T, Kizilkilic O, Hurcan CE, Koc Z, Aydin V, et al. CT and MRI findings in calvarial non–infectious lesions. Diagn Interv Radiol. 2007 Jun;13(2):68–74.
• Bateman GA, Smith RL, Siddique SH. Idiopathic hydrocephalus in children and idiopathic intracranial hypertension in adults: two manifestations of the same pathophysiological process? J Neurosurg. 2007 Dec;107(6 Suppl):439–44.
• Abu–Arafeh I, Macleod S. Serious neurological disorders in children with chronic headache. Arch Dis Child. 2005 Sep;90(9):937–40.
• Lewis DW, Qureshi F. Acute headache in children and adolescents presenting to the emergency department. Headache. 2000 Mar;40(3):200–3.
• Lewis DW. Headaches in children and adolescents. Am Fam Physician. 2002 Feb 15;65(4):625–32.
• Deda G, Caksen H, Ocal A. Headache etiology in children: a retrospective study of 125 cases. Pediatr Int. 2000 Dec;42(6):668–73.
• Aysun S, Yetuk M. Clinical experience on headache in children: analysis of 92 cases. J Child Neurol. 1998 May;13(5):202–10.
• Lateef TM, Grewal M, McClintock W, Chamberlain J, Kaulas H, Nelson KB. Headache in young children in the emergency department: use of computed tomography. Pediatrics. 2009 Jul;124(1):e12–7.
• Medina LS, Pinter JD, Zurakowski D, Davis RG, Kuban K, Barnes PD. Children with headache: clinical predictors of surgical space–occupying lesions and the role of neuroimaging. Radiology. 1997 Mar;202(3):819–24.
• Kan L, Nagelberg J, Maytal J. Headaches in a pediatric emergency department: etiology, imaging, and treatment. Headache. 2000 Jan;40(1):25–9.
• Ansell P, Johnston T, Simpson J, Crouch S, Roman E, Picton S. Brain tumor signs and symptoms: analysis of primary health care records from the UKCCS. Pediatrics. Jan;125(1):112–9.
• 16. Schwedt TJ, Guo Y, Rothner AD. “Benign” imaging abnormalities in children and adolescents with headache. Headache. 2006 Mar;46(3):387–98.
• 17. Medina LS, Kuntz KM, Pomeroy S. Children with headache suspected of having a brain tumor: a cost–effectiveness analysis of diagnostic strategies. Pediatrics. 2001 Aug;108(2):255–63.