두통을 호소하는 소아청소년에서 Brain MRI의 유용성

• 영문명: The Effectiveness of Brain MRI in Children and Adolescents with Headache
• 발행기관: 대한소아신경학회
• 저자명: 박상욱(Sang Wook Park) 박현아(Hyun A Park) 김동욱(Dong Wook Kim)
• 간행물 정보: 『Annals of Child Neurology(구 대한소아신경학회지)』대한소아신경학회지 제25권 제3호, 151~155쪽, 전체 5쪽
• 주제분류: 의약학 > 소아과학
• 파일형태: PDF
• 발행일자: 2017.07.30

영문 초록

Purpose: In this study, the authors classified the pediatric headache patients accor­ding to the presence of associated symptoms or signs, and the duration of headache. The purpose of this study is to evaluate the clinical usefulness of brain MRI in pediatric headache. Methods: Total 1859 patients diagnosed with headache, migraine, other headache syndromes were recruited in the patients at the age of 4-14 years who visited Inje University Ilsan Paik Hospital between 2012 and 2016. 216 patients who met the ex clusion criteria were excluded. Of total 1643 patients, 304 patients had brain MRI, and the brain MRI results were retrospectively analyzed. Results: The mean age of 304 patients who had brain MRI was 9.4 years. Among the 316 brain MRI results of total 304 patients, the most common finding was normal in 58.5%, followed by incidental findings (23.4%) and pathologic findings (18.0%). The patients group with associated symptoms or signs with headache showed less normal findings, more incidental and pathologic findings than those without as sociated symptoms or signs. The MRI findings of two groups showed significant difference (P=0.049). The patients group with less than 3 months of headache showed less normal findings, more incidental and pathologic findings than those with more than 3 months of headache. The MRI findings of the two groups showed significant difference (P=0.001). Conclusions: Brain MRI should be performed with careful history taking and neuro logic evaluation to rule out the underlying intracranial diseases especially in case of headaches with associated symptoms or signs.

키워드

Brain MRI Children Headache Effectiveness