儿童和青少年的三叉神经自主性头痛和神经痛:叙事综述。

IF 5.2 2区 医学 Q1 CLINICAL NEUROLOGY Current Neurology and Neuroscience Reports Pub Date : 2023-09-01 Epub Date: 2023-08-12 DOI:10.1007/s11910-023-01288-w
Ankita Ghosh, Leena Varghese, Mark J Burish, Christina L Szperka
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引用次数: 0

摘要

综述目的:总结儿童和青少年三叉神经自主性头痛(TACs)和脑神经痛的现有文献以及作者的经验。最近的发现:虽然TAC和脑神经痛在儿童中很少见,但最近已经发表了几个病例系列。儿童TAC具有成人TAC的大部分临床特征。然而,有许多报告的病例的临床特征与一种以上的诊断重叠,这表明TAC在年轻人中的分化可能较小。据报道,儿童出现了吲哚美辛反应性丛集性头痛和SUNCT/SUNA病例,而成人则通常将吲哚美嗪用于阵发性偏头痛和持续性偏头痛。中性粒细胞增多症在儿童中似乎很少见。临床特征通常与成人病例相似,尽管临床医生应对潜在原因保持高度怀疑。
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Trigeminal Autonomic Cephalalgias and Neuralgias in Children and Adolescents: a Narrative Review.

Purpose of review: To summarize the available literature as well as the authors' experience on trigeminal autonomic cephalalgias (TACs) and cranial neuralgias in children and adolescents.

Recent findings: While TACs and cranial neuralgias are rare in children, several recent case series have been published. TACs in children share most of the clinical features of TACs in adults. However, there are many reported cases with clinical features which overlap more than one diagnosis, suggesting that TACs may be less differentiated in youth. Indomethacin-responsive cases of cluster headache and SUNCT/SUNA have been reported in children, whereas in adults indomethacin is usually reserved for paroxysmal hemicrania and hemicrania continua. Neuralgias appear to be rare in children. Clinical features are often similar to adult cases, though clinicians should maintain a high index of suspicion for underlying causes.

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来源期刊
CiteScore
9.20
自引率
0.00%
发文量
73
审稿时长
6-12 weeks
期刊介绍: Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.
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