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KMID : 0391520080160020169
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Journal of the Korean Child Neurology Society
2008 Volume.16 No. 2 p.169 ~ p.174
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Clinical Manifestation of Primary Headache with Epigastric Pain or Tenderness in Children
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Hwang Hui-Sung
Choi Hye-Sun
Bin Joong-Hyun
Kim Young-Hoon
Lee In-Goo
Chung Seung-Yun
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Abstract
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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.
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KEYWORD
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Primary headache, Abdominal Pain, Nausea, Vomiting, Gastrointestinal disease, Children
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