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在小儿神经门诊病儿中常可见到以反复发作性头痛、头晕、腹痛或呕吐为主诉者,说明小儿偏头痛(Migraine)疑似病例并非少见。对于这些病儿的诊断,要注意除外中枢神经系统感染、颅内占位病变、五官科问题、高血压等全身性疾病,胃肠道疾患及癫痫等。小儿偏头痛与癫痫在临床表现、药物治疗及发病机制等方面均有相同点,二者间的关系尚待继续研究。本文仅就此问题谈谈个人的粗浅体会。小儿偏头痛的几个问题(一)定义综合20年来各种意见,认为偏头痛是一种遗传性家族性疾病,表现为反复发作性头痛并可伴有前驱期视觉异常、厌食及恶心呕吐(有时伴有
Children with neurological out-patient children can often be seen to recurrent headache, dizziness, abdominal pain or vomiting were complained that children suspected migraine (Migraine) is not uncommon. For the diagnosis of these sick children, pay attention to except central nervous system infection, intracranial lesions, ENT problems, high blood pressure and other systemic diseases, gastrointestinal disorders and epilepsy. Child migraine and epilepsy in clinical manifestations, drug treatment and pathogenesis have the same point, the relationship between the two needs to continue to study. This article only talk about this issue of personal experience. (A) the definition of Comprehensive 20 years of various opinions, that migraine is a hereditary familial disease, manifested as recurrent headache and may be associated with prodromal visual abnormalities, anorexia and nausea and vomiting ( Sometimes accompanied