Aspectos electroencefalográficos y asociación electro-clínica de la migraña infantil: posible relación con la epilepsia / Electro-encephalographic features and electro-clinic associations in children with migraine: a possible relationship with epilepsy
Acta méd. peru
;
28(4): 194-199, oct.-dic. 2011. graf, tab
Artigo
em Espanhol
| LILACS, LIPECS
| ID: lil-645842
RESUMEN
Objetivos:
Determinar las características clínicas y asociación EEG en la migraña infantil. Material ymétodos:
Estudio observacional y análitico, se seleccionaron 52 pacientes de 4-14 años de edad, con criterios diagnósticos de migraña infantil (ICHD-II) durante el 2010; se realizó a todos EEG de superficie, con foto-estimulación (FE) e hiperventilación (HV), durante el periodo interictal. Para el análisis estadístico se utilizó el χ2.Resultados:
La edad promedio fue de 10,1 años, el 53,8% fueron varones, el 32,7% fueron cefaleas pulsátiles, nauseas-vómitos en 26,9%, foto-sonofobia en 11,5%, y auras visuales en 3,8%. En las alteraciones EEG hubo lentificación difusa en 13,5%, brotes de ondas theta-delta a la FE/HV en 34,6%, y descargas interictales (DEI) en 19,2%. La asociación electro-clínica fue significativa en la población de 4-9 años reactiva a la FE (p=0,005), los brotes theta-delta reactivos a la HV en el sexo masculino (p=0,03), y las DEI prevalentes en el sexo femenino (p=0,046).Conclusión:
La asociación electro-clínica fue significativa a la FE e HV en la población de 4-9 años y en el sexo masculino respectivamente, siendo las DEI predominantes en el sexo femenino.ABSTRACT
Objective:
To determine the clinical characteristics and EEG-associated features in children with migraine. Patients andmethods:
This is an observational and analytical study. Fifty-two patients 4-14 years of age were selected, who fulfilled criteria for diagnosing migraine in children (ICHD-II) during 2010. A surface EEG was performed in every child, including photo-stimulation (PS) and hyperventilation (HV), during the interictal period. We used the chi-square method for the statistical analysis.Results:
The average age was 10.1 years, 53.8% were male, 32.7% had pulsátiles headache, nausea/vomiting were present in 26.9%, photophobia and sonophobia in 11.5%, and visual aura in 3.8%. The altered EEG patterns were as follows diffuse slow-down waves in 13.5%, theta-delta wave outbreaks during PS and HV in 34.6%, and interictal epileptiform discharges (IED) were present in 19.2%. The electro-clinical association was significant in the 4-9 year-old population reactive to PS (p= 0.005), as well as in those male subjects who developed theta-delta wave outbreaks (p=0.03), and IEDs were more prevalent in female subjects (p=0.046).Conclusions:
The electro-clinic association was significant during PS and HV in these 4-9 year-old children, particularly in males, and IED were predominant in females.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Enxaqueca sem Aura
/
Eletroencefalografia
/
Epilepsia
/
Transtornos de Enxaqueca
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
Adolescente
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Acta méd. peru
Ano de publicação:
2011
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Miguel Grau/PE
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