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Objectives: A headache is prevalent in childhood and constitutes a significant part of outpatient applications. This study aimed to evaluate the results of etiology, clinical features, examination results, prophylactic treatment and follow-up in patients with a headache. Methods: Between January 2017 and December 2018, the files of the patients with the complaint of headache were reviewed retrospectively in this study. A headache was classified according to the International Headache Society (IHS) criteria. Results: In this study, 350 patients aged between 3-17 years old and the mean age of 11.2±2.7 with a headache were included; 212 (60.6%) of them was female and 138 (39.4%) of them was male. The rate of a primary headache was higher in females than in males (p=0.004). The headache causes were a migraine in 51.1%, tension-type headache in 32.3%, secondary in 13.4%, and not classified in 3.1%. The mean age of the patients with a primary headache was significantly higher than patients with a secondary headache (p<0.001). The most common trigger factor was insomnia (52.7%). Abnormal physical/neurological signs and symptoms were detected in 17 (9.49%) patients. Cranial magnetic resonance imaging (MRI) examination was performed in 121 (34.5%) patients. Abnormal findings were found in 35 (28.9%) of these. In this study, 33 patients underwent electroencephalography (EEG); none of the had an epileptiform abnormality. Flunarizine (23.2%) and cyproheptadine (7.5%) were the most administered prophylactic treatments. It was observed that all patients who had prophylaxis and who had come to control had a significant decrease in headaches. Conclusion: The cause of childhood headaches is mostly migraine and tension-type headache. As long as there is no abnormality in the history and neurological examination, neuroimaging studies are not required in the routine evaluation of patients with a headache. Prophylactic treatment increases the quality of life in selected cases.
Goal: Headaches are very common in childhood and make up a significant portion of clinical applications. The aim of this study is to evaluate the results of the etiology, clinical characteristics, examination results, prophylactic treatment and monitoring results in patients with headache. Method: The records of patients with headaches between January 2017 and December 2018 were examined retrospectively. Headaches are classified according to the International Headaches Association criteria. The findings: between the ages of 3-17 and the average age of 11,2±2,7 years, 212 girls (60,6 percent), 138 men (39,4 percent) were included with a total of 350 headaches. The rate of primary headaches in the female sex was higher than in the male sex (p=0,004). Causes of headaches were not classified in 51.1 percent of patients with migraine, 32.3 percent with tension-type headaches, 13.4 percent with secondary headaches and 3.1 percent with unclassed headaches. The average age of those with primary headaches was statistically higher compared to those with secondary headaches (p<0,001). The most common trigger factor was insomnia (52.7 percent). In 17 patients (9.49%) an abnormal physical/neurological outcomes were detected. The chronic magnetic resonance imaging examination was performed in 121 (34,5%) patients. Of these 35 (28.9%) found abnormal findings. A total of 33 patients received electroencephalogtraphy, in which no epileptiform abnormality was detected. As a proflactic treatment, the most were given fluurazine (23.2%) and siproheptadine (7,5%). It was observed that all patients who started and controlled the prophylaxis had a significant decrease in headaches. The result: The cause of childhood headaches is mostly migraine and tension type headaches. Unless there is an abnormality in anamnese and neurological examination, there is no need for neurogenic studies in the routine assessment of headache patients. Prophylactic treatment in selected cases improves the quality of life. (SETB-2018-12-183)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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