小儿头痛归因于脑肿瘤

IF 2.4 4区医学 Q2 CLINICAL NEUROLOGY

Seminars in Pediatric Neurology Pub Date : 2025-04-01 DOI:10.1016/j.spen.2025.101185

Zuhal Ergonul , Amelia Stone

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引用次数: 0

摘要

头痛是儿童中最常见的神经系统疾病之一，患病率在57- 82%之间。儿童脑瘤发病率仅为每10万人2.5人，发病率较低，但常伴有头痛。然而，头痛很少表现为儿童脑肿瘤的唯一神经系统症状。根据国际头痛疾病分类第三版（ICHD-3），如果头痛与肿瘤有密切的时间关系，与肿瘤同时恶化，和/或在肿瘤治疗成功后好转，则头痛可能归因于脑肿瘤。脑瘤性头痛通常被认为具有特定的特征，包括剧烈的疼痛强度、早晨发作以及伴有恶心或呕吐。在ICHD-3患儿中，由于脑肿瘤引起的头痛没有正式的标准。在这篇综述中，我们提供了ICHD-3标准和临床表现的概述，以及儿童脑肿瘤引起的头痛的处理。

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Pediatric headache attributed to brain tumor

Headache is one of the most common neurologic disorders in children with a prevalence between 57-82 %. Affecting only 2.5 per 100,000 persons of the pediatric population, brain tumors in children is less common, but frequently present with headache. However, headache rarely presents as the sole neurologic symptom of a brain tumor in children. According to the International Classification of Headache Disorders Third Edition (ICHD-3), a headache may be attributed to a brain tumor if it is in close temporal relation with the tumor, worsens in parallel with the tumor, and/or improves after the successful treatment of the tumor. Brain tumor headaches are traditionally thought to display specific characteristics, including severe pain intensity, morning occurrence and association with nausea or vomiting. There are no formal criteria for headache attributed to brain tumor in children in ICHD-3. In this review we provide an overview of the ICHD-3 criteria and clinical presentation, and management of headaches attributed to brain tumors in children.

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来源期刊

Seminars in Pediatric Neurology CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

4.80

自引率

0.00%

发文量

审稿时长

84 days

期刊介绍： Seminars in Pediatric Neurology is a topical journal that focuses on subjects of current importance in the field of pediatric neurology. The journal is devoted to making the status of such topics and the results of new investigations readily available to the practicing physician. Seminars in Pediatric Neurology is of special interest to pediatric neurologists, pediatric neuropathologists, behavioral pediatricians, and neurologists who treat all ages.