Changes of primary headache related white matter lesions in pediatric patients
We aimed to describe the long-term prognosis of white matter lesions detected on magnetic resonance imaging in children with primary headache. Children who were admitted with the complaint of headache and had nonspecific white matter lesions on magnetic resonance imaging were included in the study....
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2018-08-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/871 |
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| author | Erhan Bayram Uluç Yiş Cem Paketçi Derya Okur İpek Polat Handan Çakmakcı Semra Hız Banu Anlar |
| author_facet | Erhan Bayram Uluç Yiş Cem Paketçi Derya Okur İpek Polat Handan Çakmakcı Semra Hız Banu Anlar |
| author_sort | Erhan Bayram |
| collection | DOAJ |
| description |
We aimed to describe the long-term prognosis of white matter lesions detected on magnetic resonance imaging in children with primary headache. Children who were admitted with the complaint of headache and had nonspecific white matter lesions on magnetic resonance imaging were included in the study. The clinical findings of the patients were reinvestigated using the same magnetic resonance imaging scanner and acquisition protocol after at least a two year period. Magnetic resonance imaging results of the patients were documented in detail. Findings of the baseline and follow-up studies were compared with each other by the same radiologist. Among the 11 patients, 8 ( 72.7%) were male and 3 (27.3%) were female. Mean age of patients at the time of second imaging was 12.9±2.3 years. Eight (72.7%) had migraine without aura, 1 (9.1%) had tension-type headache and 2 (18.2%) had migraine with aura. The mean clinical follow-up period of the patients was 4.31±1.31 years. All patients had low headache frequency on the last control visit when compared to the first clinical findings. The follow-up magnetic resonance imaging studies showed two newly developed white matter lesions in two patients who had migraine without aura and the white matter lesions disappeared in the patient who had tension-type headache, compared to the baseline neuroimaging. Findings of the baseline and long-term follow-up magnetic resonance imaging studies of the patients with primary headache showed no significant changes in terms of the location, size and laterality. Repeated neuro-imaging studies are not warranted in the absence of the progression in clinical findings.
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| format | Article |
| id | doaj-art-ac76dd35a3054f3b9922b052f17ec98d |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-ac76dd35a3054f3b9922b052f17ec98d2025-08-20T03:01:11ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212018-08-0160410.24953/turkjped.2018.04.004Changes of primary headache related white matter lesions in pediatric patientsErhan Bayram0Uluç Yiş1Cem Paketçi2Derya Okur3İpek Polat4Handan Çakmakcı5Semra Hız6Banu Anlar7Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Department of Radiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Division of Pediatric Neurology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.Division of Pediatric Neurology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. We aimed to describe the long-term prognosis of white matter lesions detected on magnetic resonance imaging in children with primary headache. Children who were admitted with the complaint of headache and had nonspecific white matter lesions on magnetic resonance imaging were included in the study. The clinical findings of the patients were reinvestigated using the same magnetic resonance imaging scanner and acquisition protocol after at least a two year period. Magnetic resonance imaging results of the patients were documented in detail. Findings of the baseline and follow-up studies were compared with each other by the same radiologist. Among the 11 patients, 8 ( 72.7%) were male and 3 (27.3%) were female. Mean age of patients at the time of second imaging was 12.9±2.3 years. Eight (72.7%) had migraine without aura, 1 (9.1%) had tension-type headache and 2 (18.2%) had migraine with aura. The mean clinical follow-up period of the patients was 4.31±1.31 years. All patients had low headache frequency on the last control visit when compared to the first clinical findings. The follow-up magnetic resonance imaging studies showed two newly developed white matter lesions in two patients who had migraine without aura and the white matter lesions disappeared in the patient who had tension-type headache, compared to the baseline neuroimaging. Findings of the baseline and long-term follow-up magnetic resonance imaging studies of the patients with primary headache showed no significant changes in terms of the location, size and laterality. Repeated neuro-imaging studies are not warranted in the absence of the progression in clinical findings. https://turkjpediatr.org/article/view/871childrenheadachelongterm evaluationmagnetic resonance imagingwhite matter lesions |
| spellingShingle | Erhan Bayram Uluç Yiş Cem Paketçi Derya Okur İpek Polat Handan Çakmakcı Semra Hız Banu Anlar Changes of primary headache related white matter lesions in pediatric patients The Turkish Journal of Pediatrics children headache longterm evaluation magnetic resonance imaging white matter lesions |
| title | Changes of primary headache related white matter lesions in pediatric patients |
| title_full | Changes of primary headache related white matter lesions in pediatric patients |
| title_fullStr | Changes of primary headache related white matter lesions in pediatric patients |
| title_full_unstemmed | Changes of primary headache related white matter lesions in pediatric patients |
| title_short | Changes of primary headache related white matter lesions in pediatric patients |
| title_sort | changes of primary headache related white matter lesions in pediatric patients |
| topic | children headache longterm evaluation magnetic resonance imaging white matter lesions |
| url | https://turkjpediatr.org/article/view/871 |
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