Clinical Manifestation of Primary Headache with Epigastric Pain or Tenderness in Children / 대한소아신경학회지
Journal of the Korean Child Neurology Society
; (4): 169-174, 2008.
Article
in Ko
| WPRIM
| ID: wpr-33992
Responsible library:
WPRO
ABSTRACT
PURPOSE: Population-based studies have shown positive associations between migraine and irritable bowel syndrome, colitis and peptic ulcer and migraine prevalence was higher among patients with dysmotility-like dyspepsia or nausea/vomiting. The aim of this study was to investigate clinical manifestation between primary headache with epigastric pain or tenderness(EPT) and primary headache without EPT. METHODS: We retrospectively reviewed the medical records of 58 patients who were diagnosed primary headache[by ICHD-II(2004)] at Incheon St. Mary Hospital from January, 2006 to December, 2007. Their clinical characteristics such as age, sex, frequency & severity of headache and associated symptoms & signs were analysed. RESULTS: The rate of headache associated with EPT were 36% of migraine cases, 50% of tension-type headache cases, and 100% of unclassified headache cases. Headache with EPT were at a high rate in female. Headache with EPT were more severe than one without EPT. Regulation of behavior, diet and sleep pattern had improved severity of headache in 71% of migraine without EPT and 94% of tension-type headache without EPT, but in 12% of migraine with EPT and 18% of tension-type headache with EPT. Headache disappeared in 64% of migraine with EPT and 53% of tension-type headache by additional regular antiacid medication. CONCLUSION: Our study supports any specific correlation between headache and EPT, but further studies are needed.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Peptic Ulcer
/
Vomiting
/
Abdominal Pain
/
Medical Records
/
Prevalence
/
Retrospective Studies
/
Colitis
/
Tension-Type Headache
/
Irritable Bowel Syndrome
/
Diet
Type of study:
Observational_studies
/
Prevalence_studies
Limits:
Child
/
Female
/
Humans
Language:
Ko
Journal:
Journal of the Korean Child Neurology Society
Year:
2008
Type:
Article