脳底動脈型片頭痛 [in Japanese] Basilar Artery Migraine [in Japanese]
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脳底動脈型片頭痛は稀な疾患と考えられている傾向にあり, またBickerstaffが最初に記載した臨床的特徴, すなわち, 思春期女子に好発し, 後頭部の頭痛が多いことが, よく引用されている.<BR>本研究は, 片頭痛中の脳底動脈型の位置, および脳底動脈型片頭痛の臨床的特徴を, 自験例に文献を加え検討したものである.<BR>片頭痛239名中脳底動脈型片頭痛は72名 (30.1%) であった.脳底動脈型片頭痛の発症年齢, 男女比および頭痛の部位は, その他の片頭痛と差がなかった.<BR>文献上でも, 脳底動脈型片頭痛は片頭痛の11.3-24%であり, 片頭痛の特殊型でなく, 一般的な病型と言える.脳底動脈型片頭痛は, 文献も加え検討すると, 思春期女子に好発するとか, 後頭部頭痛が多いとは言えない. Bickerstaffの文献を, そのまま引用するのは好ましくない.
Migraine and its variants are common diseases seen in the pediatric population. One of the less well-recognized types of complicated migraine is basilar artery migraine. There is little information on basilar artery migraine concerning its relative frequency in the whole migraine, and no general agreement as to both its sex and age distributions, and locations of headache.<BR>Comparative study of basilar artery migraine and other types of migraine was made with regards to sex distribution, age of onset, locations of headache, and family history of migraine.<BR>This study comprised 72 children with basilar artery migraine (22 boys and 50 girls) and 167 children with other types of migraine (73 boys and 94 girls). There was higher occurrence of basilar artery migraine in female to male than that of other migraine, but this was not significant. Age of onset was not different between the two groups. Locations of headache were not different between the two groups (predominantly at frontal and temporal regions). Anamnesis of orthostatic dysregulation and family history of migraine were not different in frequency between the two groups. The neurological signs and symptoms in children with basilar artery migraine were vertigo (46%), visual changes (33%), diplopia (32%), paresthesia (24%), ataxia (14%), dysarthria (6%), and motor disturbance (4%).<BR>Of 239 children with migraine, 30.1% were diagnosed as having basilar artery migraine. Basilar artery migraine was not so rare as previously considered. It did not occur exclusively in adolescent girls. The location of headache was not restricted to the occipital region.
- NO TO HATATSU
NO TO HATATSU 14(5), 451-455, 1982
THE JAPANESE SOCIETY OF CHILD NEUROLOGY