| Autor: |
이정호, 김헌민, 임병찬, 채종희, 최지은, 김기중, 황용승, 황 희 |
| Zdroj: |
Journal of the Korean Child Neurology Society; Jun2013, Vol. 21 Issue 2, p53-58, 6p |
| Abstrakt: |
Purpose: The purpose of this study was to evaluate the clinical characteristics and efficacy of prophylactic treatment of pediatric chronic daily headache (COH). Methods: A retrospective medical-record review of patients who underwent the prophylaxis after a diagnosis of COH was performed. Response to treatment was assessed by the total number of headache days/month. More than 50% reduction of headache frequency was classified as responders. Results: Eighty patients with the diagnosis of COH were included in the study. COH was more prevalent in girls than in boys. It was classified into chronic migraine (81.2%). chronic tension-type headache (15.0%). or new-onset persistent daily headache (3.7%). None of the patient fulfilled the diagnostic criteria of hemicrania continua. The mean age of the patients was 11.8± 1.2 years. The mean number of monthly headache episodes before treatment was 25.5±4.4. After prophylactic treatment. headache episodes were reduced to 8.7±9.5 episodes per month. The responder rate of prophylactic treatment was 70.2% (55/80 patients) for either topiramate or flunarizine. Conclusion: In our study. the most common type of COH was chronic migraine. All patients with COH had frequent. long lasting migraine attacks. This study also suggests that prophylactic treatment is effective in the treatment of pediatric CDH. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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