Cefaléia na infância: diagnóstico e terapêutica. estudo prospectivo de 77 casos

Muszkat, Mauro; Vergani, M. Isabel C.; Torres, Dilene M.

doi:10.1590/S0004-282X1988000300004

Resumos

Foram analisados 77 casos de cefaléia na infância. A faixa etária situou-se em 9 anos ± 2 sem diferença entre os sexos. A localização frontal foi encontrada em aproximadamente 49% dos casos com relato de hemicrania em apenas 9%. Os fatores associados mais freqüentes foram náuseas, vômitos e tontura, sendo o fator desencadeante mais comum o stress emocional. Antecedente familiar de cefaléia ocorreu em 76,5%. Dos 36 pacientes considerados como tendo enxaqueca, 31 foram submetidos a tratamento profilático com pizotifeno ou propranolol. Houve resposta clínica satisfatória em aproximadamente 90% dos casos.

Seventy seven cases of migraine in children were studied. Age average was 9 years ± 2; there were any sex differences. The frontal localization was found in roughly 49% of cases, whereas hemicrania was just found in 9% of cases. The most frequent factors associated were nausea, vomiting and dizziness. The most common triggering factor was the stress. Family history of migraine occurred in 76.5%. Out of 36 patients suffering migraine, 31 underwent a prophylactic treatment with pizotifen or propranolol. There was satisfactory clinical responses in roughly 90% of cases.

Mauro Muszkat; M. Isabel C. Vergani; Dilene M. Torres

Neuropediatra - Serviço de Neurologia Infantil do Hospital Municipal Infantil Menino Jesus (HMIMJ), São Paulo

RESUMO

Foram analisados 77 casos de cefaléia na infância. A faixa etária situou-se em 9 anos ± 2 sem diferença entre os sexos. A localização frontal foi encontrada em aproximadamente 49% dos casos com relato de hemicrania em apenas 9%. Os fatores associados mais freqüentes foram náuseas, vômitos e tontura, sendo o fator desencadeante mais comum o stress emocional. Antecedente familiar de cefaléia ocorreu em 76,5%. Dos 36 pacientes considerados como tendo enxaqueca, 31 foram submetidos a tratamento profilático com pizotifeno ou propranolol. Houve resposta clínica satisfatória em aproximadamente 90% dos casos.

SUMMARY

Seventy seven cases of migraine in children were studied. Age average was 9 years ± 2; there were any sex differences. The frontal localization was found in roughly 49% of cases, whereas hemicrania was just found in 9% of cases. The most frequent factors associated were nausea, vomiting and dizziness. The most common triggering factor was the stress. Family history of migraine occurred in 76.5%. Out of 36 patients suffering migraine, 31 underwent a prophylactic treatment with pizotifen or propranolol. There was satisfactory clinical responses in roughly 90% of cases.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Rua dos Ingleses 258 - 01329 São Paulo SP - Brasil.

1. Bille B - Migraine in childhood. Panminerva Med 24: 57, 1982.
2. Carvalho DS - Fatores de risco da enxaqueca na faixa etária de 7 a 15 anos. Dissertação de Mestrado em Neurologia Clínica. Escola Paulista de Medicina, São Paulo, 1986.
3. Congdon PJ, Forsythe WI - Migraine in childhood: a study of 300 children. Develop Med Child Neurol 21: 209, 1979.
4. Dalessio DJ - Wolf's Headache and other Head Pain. Ed 4. Oxford Univ press, London, 1980.
5. Fenichel GM - Migraine in children. In Swaiman KF (ed): Neurologic Clinics 3: 77, 1985.
6. Forsythe LD, Gilles M - Propranolol (inderal) in the treatment of childhood migraine. Develop Med Child Neurol 26: 737, 1984.
7. Hockaday JM - Headaches in children. In Rose FC (ed): Handbook of Clinical Neurology 48: 31, 1986.
8. Hockaday JM - The, diagnosis of migraine in childhood. In MacFarlane JS (ed): Progress in Child Health. Churchill Livingstone, Edinburgh, 1984.
9. Maratos T, Wilkenson M - Migraine in children: a medical and psychiatric study. Cephalalgia 2: 179, 1982.
10. Prensky SL - Migraine and migraine variants in pediatric patients. Pediat Clin N Amer 23: 461, 1976.
11. Selby G, Lance JW - Observations on 500 cases of migraine on a allied vascular headache. J Neurol Neurosurg Psychiat 23: 23, 1960.
12. Vahlquist B - Migraine in children. Int Arch Allergy 7: 348, 1955.

Cefaléia na infância: diagnóstico e terapêutica. estudo prospectivo de 77 casos

Headache in childhood: diagnosis and treatment. a prospective study of 77 cases

Datas de Publicação

Publicação nesta coleção
22 Jun 2011
Data do Fascículo
Set 1988

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Bille B - Migraine in childhood. Panminerva Med 24: 57, 1982.

[2] 2. Carvalho DS - Fatores de risco da enxaqueca na faixa etária de 7 a 15 anos. Dissertação de Mestrado em Neurologia Clínica. Escola Paulista de Medicina, São Paulo, 1986.

[3] 3. Congdon PJ, Forsythe WI - Migraine in childhood: a study of 300 children. Develop Med Child Neurol 21: 209, 1979.

[4] 4. Dalessio DJ - Wolf's Headache and other Head Pain. Ed 4. Oxford Univ press, London, 1980.

[5] 5. Fenichel GM - Migraine in children. In Swaiman KF (ed): Neurologic Clinics 3: 77, 1985.

[6] 6. Forsythe LD, Gilles M - Propranolol (inderal) in the treatment of childhood migraine. Develop Med Child Neurol 26: 737, 1984.

[7] 7. Hockaday JM - Headaches in children. In Rose FC (ed): Handbook of Clinical Neurology 48: 31, 1986.

[8] 8. Hockaday JM - The, diagnosis of migraine in childhood. In MacFarlane JS (ed): Progress in Child Health. Churchill Livingstone, Edinburgh, 1984.

[9] 9. Maratos T, Wilkenson M - Migraine in children: a medical and psychiatric study. Cephalalgia 2: 179, 1982.

[10] 10. Prensky SL - Migraine and migraine variants in pediatric patients. Pediat Clin N Amer 23: 461, 1976.

[11] 11. Selby G, Lance JW - Observations on 500 cases of migraine on a allied vascular headache. J Neurol Neurosurg Psychiat 23: 23, 1960.

[12] 12. Vahlquist B - Migraine in children. Int Arch Allergy 7: 348, 1955.