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KMID : 0391520150230020027
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Journal of the Korean Child Neurology Society
2015 Volume.23 No. 2 p.27 ~ p.30
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Effects of Gender, Age, Family History and Shoulder Pain on Pediatric Primary Headache
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Na Hyun-Ju
Kim Joo-Hyun
Park Sun-Young
Han Ji-Yoon
Eom Tae-Hoon
Bin Joong-Hyun
Kim Young-Hoon
Lee In-Goo
Chung Seung-Yun
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Abstract
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Purpose: Headache is recognized as a common health problem in children and adolescents. We analyzed migraine and tension type headache by sex, age, family history and shoulder pain to find factors influencing each type of headache.
Method: This retrospective study was conducted in total 319 patients with headache, who were brought to the Department of Pediatrics of Catholic University Incheon Saint Mary’s Hospital from January 2009 to December 2013. Our diagnosis was made using the International Classification of Headache Disorders-II (ICHD-II).
Results: In whole study population, 195 patients were identified; 97 were diagnosed with migraine and 98 were diagnosed with tension type headache. Among migraine patients, 35 patients had migraine with aura and 62 had migraine without aura. Mean age of headache patients is 10.9 years old. The type with the oldest mean age was migraine with aura (13.1 years old, P<0.01). Male to female ratio of headache patients is 1:1.64. Female was significantly predisposed to migraine with aura (M:F=1:3.38, P=0.04). Thirty eight percent of patients have shoulder pain. Forty one percent of patients in
migraine, 42.9% migraine with aura, 40.3% migraine without aura and 38.8% tension type headache have shoulder pain. Thirty two percent of patients have family history of headache. Thirty seven percent of patients with migraine, 31.4% migraine with aura, 40.3% migraine without aura and 30.6% tension type headache have family history of headache.
Conclusion: Although, as many as 32% of headache patients have family history, our study did not reveal the patients with migraine have family history more often than those with tension type headache. Likewise, the incidence of shoulder pain
was not significantly different between the patients with migraine and those with tension type headache. Patients having migraine with aura were older age and more female predominant than patients with other types of headache.
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KEYWORD
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Headache, Migraine Disorders, Tension-Type Headache, Child
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