Clinical Profile of Children with Primary Headache at a Tertiary Care Center in North India: A Retrospective Study

• 영문명: Clinical Profile of Children with Primary Headache at a Tertiary Care Center in North India: A Retrospective Study
• 발행기관: 대한소아신경학회
• 저자명: Rahul Sinha Dharmesh Soneji Gautam Kamila Sonali Singh Ashish Upadhyay
• 간행물 정보: 『Annals of Child Neurology(구 대한소아신경학회지)』vol.31 no.3, 167~173쪽, 전체 7쪽
• 주제분류: 의약학 > 소아과학
• 파일형태: PDF
• 발행일자: 2023.06.30

영문 초록

Purpose: The present study investigated the clinical profile of children with primary headache at a tertiary care center in North India. Methods: A retrospective observational study was conducted between January 2021 and October 2022. In total, 100 children 5 to 18 years of age who attended the pediatric outpatient department or the emergency department with primary headache were included. Children with secondary causes of headache were excluded. Results: This study included 100 children (40 boys, 60 girls), and the female-to-male ratio was 1.5:1. The patients ranged in age from 5 to 18 years (mean±standard deviation, 10.1±2.8). Migraine headaches were most commonly reported (60%) followed by tension-type headache (28%) and others (12%). The throbbing type of pain was most common (43%), followed by the tightening type in 32%. The pain location was bilateral frontal in 47% of patients, followed by bitemporal in 20% and occipital in 17%. Most of the children (87%) had a headache duration of 2 to 4 hours. The common precipitating factors were skipped meals (25%), bright light (18%), lack of sleep (16%), and schoolwork (15%). A family history was present in around 62%. Around 70% of children required prophylactic medications (flunarizine and propranolol). Long screen time (2 to 4 hours/day) and a family history of headache were significantly associated with primary headache (P<0.05). Conclusion: The present study highlights that migraine is most common cause of primary headache in children, and every effort should be made for the early detection and management of headaches among children.

목차

Introduction

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Results

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키워드

Headache Migraine disorders Tension-type headache Screen time