Fatores de risco da enxaqueca na faixa etária de 7 a 15 anos

Carvalho, Deusvenir de Souza; Zukerman, Eliova; Hanuch, Suzanmeire Negro Minatti; Levyman, Célio; Lima, José Geraldo Camargo

doi:10.1590/S0004-282X1987000400003

Resumos

A comparação de dois grupos de crianças (grupo A, com enxaqueca e grupo B, controle, sem cefaléia) com idade de 7 a 15 anos mostrou quanto à ocorrência de distúrbio de sono, dor abdominal recorrente, cinetose, hiperatividade, vertigens, dores do crescimento, vômitos cíclicos, pseudoangina e antecedente familiar de cefaléia em geral e/ou enxaqueca que: predomina no grupo A, dor abdominal recorrente, cinetose, vertigens, hiperatividade, vômitos cíclicos, em ambos os sexos; distúrbio de sono no sexo masculino e dores do crescimento, no feminino; antecedente familiar de cefaléia em geral e/ou enxaqueca. Pseudoangina não mostrou diferença significante. Discute-se a possibilidade de serem considerados esses fatores como fatores de risco para o diagnóstico de enxaqueca.

The occurence of sleep troubles, recurrent abdominal pain, motion sickness, hyperactivity, dizziness, limb pain, cyclic vomiting, pseudoangine and the headache or migraine family history have been studied in 68 children migraine sufferers and compared to 68 non-headache sufferers whose ages range from 7 to 15. Data have revelead a significant predominance of those symptoms and family histories in migraine sufferers except pseudoangine which has had no significance, sleep troubles significant only in males and limb pains in females. The possibility of considering those factores as migraine risk factors is discussed.

Fatores de risco da enxaqueca na faixa etária de 7 a 15 anos

Migraine risk factors in school children

Deusvenir de Souza Carvalho^I; Eliova Zukerman^II; Suzanmeire Negro Minatti Hanuch^I; Célio Levyman^I; José Geraldo Camargo Lima^III

^IPós-Graduando em Neurologia Clínica - Disciplina de Neurologia da Escola Paulista de Medicina

^IIProfessor Adjunto, Chefe do Setor de Investigação e Tratamento das Cefaléias (SITC) - Disciplina de Neurologia da Escola Paulista de Medicina

^IIIProfessor Titular, Chefe da Disciplina - Disciplina de Neurologia da Escola Paulista de Medicina

RESUMO

A comparação de dois grupos de crianças (grupo A, com enxaqueca e grupo B, controle, sem cefaléia) com idade de 7 a 15 anos mostrou quanto à ocorrência de distúrbio de sono, dor abdominal recorrente, cinetose, hiperatividade, vertigens, dores do crescimento, vômitos cíclicos, pseudoangina e antecedente familiar de cefaléia em geral e/ou enxaqueca que: predomina no grupo A, dor abdominal recorrente, cinetose, vertigens, hiperatividade, vômitos cíclicos, em ambos os sexos; distúrbio de sono no sexo masculino e dores do crescimento, no feminino; antecedente familiar de cefaléia em geral e/ou enxaqueca. Pseudoangina não mostrou diferença significante. Discute-se a possibilidade de serem considerados esses fatores como fatores de risco para o diagnóstico de enxaqueca.

SUMMARY

The occurence of sleep troubles, recurrent abdominal pain, motion sickness, hyperactivity, dizziness, limb pain, cyclic vomiting, pseudoangine and the headache or migraine family history have been studied in 68 children migraine sufferers and compared to 68 non-headache sufferers whose ages range from 7 to 15. Data have revelead a significant predominance of those symptoms and family histories in migraine sufferers except pseudoangine which has had no significance, sleep troubles significant only in males and limb pains in females. The possibility of considering those factores as migraine risk factors is discussed.

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1. BARABAS, G.; MATHEWS, W.S. & FERRARI, M. - Childhood migraine and motion sickness. Pediatrics 72:188, 1983.
2. BAROLIN, G.S. - Headache in children. Adv. Neurol. 33:183, 1982.
3. BERGAMINI, G.; GUIDETTI, G. & DALLARI, S. - La vertigine nella sindrome ricorrente infantile: considerazioni e ipotesi eziopatogenetiche a proposito de 14 casi. Minerva pediat. 34:577, 1982.
4. BILLE, B. - Migraine in school children. Acta paediat. (Uppsala) 51:1, 1962.
5. BLITZTEN, N.L. & BRAMS, W.A. - Migraine with abdominal equivalent. J. amer. med. Assoc. 86:675, 1926.
6. BROWN, J.K. - Migraine and migraine equivalent in children. Develop. Med. Child Neurol. 19:683, 1977.
7. CHAO, D.; SEXTON, J.A. & DAVIS, S.D. - Convulsive equivalent syndrome of childhood. J. Pediat. 64:499, 1964.
8. DALSGAARD-NIELSEN, T. Migraine and heredity. Acta, neurol. scand. 41: 287, 1965.
9. DEL BENE, E. - Multiple aspects of headache risk in children. Adv. Neurol. 33:187, 1982.
10. EVIATAR, L. & EVIATAR, A. - Vertigo in childhood. Clin. Pediat. 13:940, 1974.
11. FENICHEL, G.M. - Migraine as a cause of benign paroxismal vertigo of childhood. J. Pediat. 71:114, 1967.
12. GENTILLI, P.; MARTINI, A.; COZZI, F. & LAZZARI, R. - I dolori abdominali ricorrenti nel bambino. Minerva pediat. 35:45, 1983.
13. GREEN, M. - Diagnosis and treatment: psycogenic, recurrent, abdominal pain. Pediatrics 40:84, 1967.
14. GUIDETTI, G.; BERGAMINl, G. & DALLARI, S. - Vertigine e cefalea nell' infanzia: considerazione a proposito di tre casi. Minerva pediat. 33:587, 1981.
15. HUGHES, M.C. & ZIMIN, R. - Children with psychogenic abdominal pains and their families: manegement during hospitalization. Clin. Pediat. 17:569, 1978.
16. JAY, G.W. - Epilepsy, migraine, and EEG abnormalities in children: a review and hypothesis. Headache 22:110, 1982.
17. KOEHLER, B. - Benign paroxismal vertigo of childhood, a migraine equivalent. Eur. J. Pediat. 134:149. 1980.
18. KURITZKY, A.; ZIEGLER, D.K. & HASSANEIN, R. - Vertigo, motion sickness and migraine. Headache 21:227, 1981.
19. LANZI, G.; BALONTTIN, U.; FAZZI, E. & ROSANO, F.B. - The periodic syndrome in pediatric migraine sufferers. Cephalalgia (Suppl. 1) :91, 1983.
20. LIEBMAN, W.M. - Recurrent abdominal pain in children: a retrospective survey of 119 patients. Clin. Pediat. 17:149, 1978.
21. LIVINSTON, S. - Abdominal pain as a manifestation of epilepsy. J. Pediat. 38:687, 1951.
22. LUNDBERG, P.O. - Abdominal pain, diagnosis and therapy. Headache 15:122, 1974.
23. MILLUOHAP, J.G. - Cyclic vomiting as ia form of epilepsy in children. Pediatrics 15:705. 1955.
24. MIRA, E.; PIACENTINO, G.; LANZI, G.; BALOTTIN, U. & FAZZI, F. - Benign paroxismal vertigo in childhood: a migraine equivalent. ORL J. Otorhinolaryng. relat. Spec. 46:97, 1984.
25. MITCHELL, W.G.; GREENWOOD, R.S. & MESSENHEIMER, J.A. - Abdominal epilepsy: cyclic vomiting as the major symptom of simple partial seizures. Arch. Neurol. 40:251, 1983.
26. MOORE, M.T. - Abdominal epilepsy versus abdominal migraine. Ann. int. Med. 33:122, 1950.
27. MORETTI, G.; MANZONI, G.C.; CAFFARRA, P. & PARMA, M. - Benign recurrent vertigo and its connection with migraine. Headache 20:344, 1980.
28. MULDER, D.W. - Visceral epilepsy. Arch. int. Med. 93:481, 1954.
29. NAEYE, R.L. - Cyclic fever, abdominal pain and grand mal seizure: case report. Ann. int. Med. 48:859, 1958.
30. OSTER, J. - Recurrent abdominal pain, headache and limb pains in children and adolescents. Pediatrics 50:429, 1972.
31. PRENSKY, A.L. - Migraine and migranous variants in pediatric patients. Pediat. Clin. N. Amer. 23:461, 1976.
32. PRENSKY, A.L. & SOMMER. D. - Diagnosis and treatment of migraine in children. Neurology 29:506, 1979.
33. SIEGEL, S. - Estadística No Paramétrica Aplicada a las Ciencias de la Conduta. Trillas, México, 1975, p. 346.
34. SLATER, R. - Benign recurrent vertigo. J. Neurol. Neurosurg. Psychiat. 42:363, 1979.
35. VERCELLETTO, P.; CLER, J.M. & FRIOL, M. - Vertiges et migraine basilaire - place, nosologique des vertiges benins de l'enfant. Rev. Oto-Neuro-Qphtal. 51:231,1979.
36. WATERS, W.E. - Migraine and symptomas in childhood: bilious attacks: travel sickness and eczema. Headache 12:55, 1972.
37. WATSON, P. & STEELE, J.C. - Paroxismal dysequilibrium in the migraine syndrome of childhood. Arch. Otolaryng. 99:177, 1974.

Datas de Publicação

Publicação nesta coleção
22 Jun 2011
Data do Fascículo
Dez 1987

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BARABAS, G.; MATHEWS, W.S. & FERRARI, M. - Childhood migraine and motion sickness. Pediatrics 72:188, 1983.

[2] 2. BAROLIN, G.S. - Headache in children. Adv. Neurol. 33:183, 1982.

[3] 3. BERGAMINI, G.; GUIDETTI, G. & DALLARI, S. - La vertigine nella sindrome ricorrente infantile: considerazioni e ipotesi eziopatogenetiche a proposito de 14 casi. Minerva pediat. 34:577, 1982.

[4] 4. BILLE, B. - Migraine in school children. Acta paediat. (Uppsala) 51:1, 1962.

[5] 5. BLITZTEN, N.L. & BRAMS, W.A. - Migraine with abdominal equivalent. J. amer. med. Assoc. 86:675, 1926.

[6] 6. BROWN, J.K. - Migraine and migraine equivalent in children. Develop. Med. Child Neurol. 19:683, 1977.

[7] 7. CHAO, D.; SEXTON, J.A. & DAVIS, S.D. - Convulsive equivalent syndrome of childhood. J. Pediat. 64:499, 1964.

[8] 8. DALSGAARD-NIELSEN, T. Migraine and heredity. Acta, neurol. scand. 41: 287, 1965.

[9] 9. DEL BENE, E. - Multiple aspects of headache risk in children. Adv. Neurol. 33:187, 1982.

[10] 10. EVIATAR, L. & EVIATAR, A. - Vertigo in childhood. Clin. Pediat. 13:940, 1974.

[11] 11. FENICHEL, G.M. - Migraine as a cause of benign paroxismal vertigo of childhood. J. Pediat. 71:114, 1967.

[12] 12. GENTILLI, P.; MARTINI, A.; COZZI, F. & LAZZARI, R. - I dolori abdominali ricorrenti nel bambino. Minerva pediat. 35:45, 1983.

[13] 13. GREEN, M. - Diagnosis and treatment: psycogenic, recurrent, abdominal pain. Pediatrics 40:84, 1967.

[14] 14. GUIDETTI, G.; BERGAMINl, G. & DALLARI, S. - Vertigine e cefalea nell' infanzia: considerazione a proposito di tre casi. Minerva pediat. 33:587, 1981.

[15] 15. HUGHES, M.C. & ZIMIN, R. - Children with psychogenic abdominal pains and their families: manegement during hospitalization. Clin. Pediat. 17:569, 1978.

[16] 16. JAY, G.W. - Epilepsy, migraine, and EEG abnormalities in children: a review and hypothesis. Headache 22:110, 1982.

[17] 17. KOEHLER, B. - Benign paroxismal vertigo of childhood, a migraine equivalent. Eur. J. Pediat. 134:149. 1980.

[18] 18. KURITZKY, A.; ZIEGLER, D.K. & HASSANEIN, R. - Vertigo, motion sickness and migraine. Headache 21:227, 1981.

[19] 19. LANZI, G.; BALONTTIN, U.; FAZZI, E. & ROSANO, F.B. - The periodic syndrome in pediatric migraine sufferers. Cephalalgia (Suppl. 1) :91, 1983.

[20] 20. LIEBMAN, W.M. - Recurrent abdominal pain in children: a retrospective survey of 119 patients. Clin. Pediat. 17:149, 1978.

[21] 21. LIVINSTON, S. - Abdominal pain as a manifestation of epilepsy. J. Pediat. 38:687, 1951.

[22] 22. LUNDBERG, P.O. - Abdominal pain, diagnosis and therapy. Headache 15:122, 1974.

[23] 23. MILLUOHAP, J.G. - Cyclic vomiting as ia form of epilepsy in children. Pediatrics 15:705. 1955.

[24] 24. MIRA, E.; PIACENTINO, G.; LANZI, G.; BALOTTIN, U. & FAZZI, F. - Benign paroxismal vertigo in childhood: a migraine equivalent. ORL J. Otorhinolaryng. relat. Spec. 46:97, 1984.

[25] 25. MITCHELL, W.G.; GREENWOOD, R.S. & MESSENHEIMER, J.A. - Abdominal epilepsy: cyclic vomiting as the major symptom of simple partial seizures. Arch. Neurol. 40:251, 1983.

[26] 26. MOORE, M.T. - Abdominal epilepsy versus abdominal migraine. Ann. int. Med. 33:122, 1950.

[27] 27. MORETTI, G.; MANZONI, G.C.; CAFFARRA, P. & PARMA, M. - Benign recurrent vertigo and its connection with migraine. Headache 20:344, 1980.

[28] 28. MULDER, D.W. - Visceral epilepsy. Arch. int. Med. 93:481, 1954.

[29] 29. NAEYE, R.L. - Cyclic fever, abdominal pain and grand mal seizure: case report. Ann. int. Med. 48:859, 1958.

[30] 30. OSTER, J. - Recurrent abdominal pain, headache and limb pains in children and adolescents. Pediatrics 50:429, 1972.

[31] 31. PRENSKY, A.L. - Migraine and migranous variants in pediatric patients. Pediat. Clin. N. Amer. 23:461, 1976.

[32] 32. PRENSKY, A.L. & SOMMER. D. - Diagnosis and treatment of migraine in children. Neurology 29:506, 1979.

[33] 33. SIEGEL, S. - Estadística No Paramétrica Aplicada a las Ciencias de la Conduta. Trillas, México, 1975, p. 346.

[34] 34. SLATER, R. - Benign recurrent vertigo. J. Neurol. Neurosurg. Psychiat. 42:363, 1979.

[35] 35. VERCELLETTO, P.; CLER, J.M. & FRIOL, M. - Vertiges et migraine basilaire - place, nosologique des vertiges benins de l'enfant. Rev. Oto-Neuro-Qphtal. 51:231,1979.

[36] 36. WATERS, W.E. - Migraine and symptomas in childhood: bilious attacks: travel sickness and eczema. Headache 12:55, 1972.

[37] 37. WATSON, P. & STEELE, J.C. - Paroxismal dysequilibrium in the migraine syndrome of childhood. Arch. Otolaryng. 99:177, 1974.