Background

Trigemino-autonomic cephalalgias are very rare disorders and even rarer in children and adolescents. We report the onset of paroxysmal hemicrania in a very young girl and reviewed the scientific literature for similar cases.

Findings

We describe the case of a 1.6-year-old girl with left-sided headache attacks fulfilling the criteria of paroxysmal hemicrania including prompt responsiveness to indomethacin. In addition, we detected at least two children for every trigemino-autonomic cephalalgias subtype with an age of under 7 years at the onset of the trigemino-autonomic cephalalgias. Remarkable features were a vast majority of chronic course from onset on and left-sided attacks.

Conclusion

Although very rare, trigemino-autonomic cephalalgias can occur even in very young children under the age of 6 years. This should be known in neuropaediatrics.

中文翻译：

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三叉神经自主神经性头痛的发病年龄很小——病例报告和文献复习。

背景

三叉神经自主神经性头痛是非常罕见的疾病，在儿童和青少年中更为罕见。我们报告了一个非常年轻的女孩发生阵发性偏头痛，并回顾了类似病例的科学文献。

发现

我们描述了一名 1.6 岁女孩左侧头痛发作的案例，该女孩符合阵发性偏头痛的标准，包括对吲哚美辛迅速反应。此外，对于每一种三叉神经自主神经性头痛亚型，我们检测到至少两名儿童在三叉神经自主神经性头痛发作时年龄在 7 岁以下。显着的特征是绝大多数慢性病程从发病和左侧发作开始。

结论

虽然非常罕见，但即使在 6 岁以下的幼儿中也可能发生三叉神经自主神经性头痛。这在神经儿科中应该是已知的。