Pediatric Patients With Recurrent Headache and Abnormal Electroencephalogram
- VernacularTitle:脳波異常を伴った小児の難治性頭痛症例の検討
- Author:
Sho TAKAHASHI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2020;68(5):577-
- CountryJapan
- Language:Japanese
- Abstract: Occasionally, standard painkillers or triptans tend to be ineffective for treating pediatric patients with recurrent headache, leading to unavoidable absence and early departure from school, or even resulting in them becoming targets of bullying. Thirty children (19 male, 11 female; mean age 10.7 years, range 4–15 years) examined at my clinic in 2018, who presented with a chief complaint of intractable headache and exhibited abnormal electroencephalogram (EEG), were retrospectively studied. Their diagnosis, treatment, and treatment efficacy were analyzed. Although all participants showed abnormal brain waves on EEG, they did not demonstrate any other symptoms beside headache. Antiepileptic drug therapy proved efficacious in 24 of the 30 cases (80%). In all successfully treated cases, a definitive improvement in headaches was confirmed within 1–2 weeks.
