CLINICAL FEATURES, PREDISPOSING FACTORS AND MONITORING INPEDIATRIC MIGRAINES AND TENSION TYPES HEADACHES

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Introduction: Headache is an ailment which has a major impact on the patients’ quality of life and is frequently encountered in the practice of pediatrics. We wanted to emphasize the importance of differential diagnosis, predisposing factors, clinical features and treatment of migraines and tension type headache in children and adolescents in this study. Material and Method: The study involved 50 patients having migraine and 50 tension type headache patients consecutively diagnosed in our pediatric neurology clinic between June 2007 and June 2008. The diagnosis was formulated in a manner based on ‘’International Classification of Headache Disorders’’ criteria published by International Headache Society. Demographic and clinical data were collected prospectively on all children. Results: There were 60 girls of all patients and no significant difference between migraine and tension type headache patients in terms of gender. Mean age was 11.81±3.05 years in all over; while mean age was significantly higher in tension type headache group than migraine group, those given in respectively (13.00±2.37 years v.s. 10.62±3.21 years). A positive family history has 52% migraine group and 18% tension type headache group. Thirty-six patients (17 migraine, 19 tension type headache patiens) reported precipitating factors. Thirty-four migraine patients and 13 tension type headache patients treated with daily prophylaxis agents.Conclusion: While family history is found to be a high risk factor for migraine group, the triggering factor rates have been found to be similar in both groups and stress is the most frequently indicated factor. The frequency and intensity of headaches in 47 patients, in the early stages of protective treatment, were lessened. Headache is a chronic illness that has an impact on patients’ quality of life and its differential diagnosis, clinical features, and treatment are crucial

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