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Titolo:
CHILDREN WITH HEADACHE - CLINICAL PREDICTORS OF SURGICAL SPACE-OCCUPYING LESIONS AND THE ROLE OF NEUROIMAGING
Autore:
MEDINA LS; PINTER JD; ZURAKOWSKI D; DAVIS RG; KUBAN K; BARNES PD;
Indirizzi:
HARVARD UNIV,CHILDRENS HOSP,SCH MED,DEPT RADIOL,300 LONGWOOD AVE BOSTON MA 02115 HARVARD UNIV,CHILDRENS HOSP,SCH MED,DEPT NEUROL BOSTON MA 02115
Titolo Testata:
Radiology
fascicolo: 3, volume: 202, anno: 1997,
pagine: 819 - 824
SICI:
0033-8419(1997)202:3<819:CWH-CP>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
AGE;
Keywords:
ARACHNOID, CYSTS; ARTERIOVENOUS MALFORMATION, CEREBRAL; BRAIN, ABNORMALITIES; BRAIN NEOPLASMS, CT; BRAIN NEOPLASMS, IN INFANTS AND CHILDREN; BRAIN NEOPLASMS, MR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
L.S. Medina et al., "CHILDREN WITH HEADACHE - CLINICAL PREDICTORS OF SURGICAL SPACE-OCCUPYING LESIONS AND THE ROLE OF NEUROIMAGING", Radiology, 202(3), 1997, pp. 819-824

Abstract

PURPOSE: To determine clinical predictors useful in differentiation of surgical lesions from medically treated disorders and the role of neuroimaging in children with headache. MATERIALS AND METHODS: In a 4-year retrospective study, 315 patients with headache and no known neurologic disorder underwent brain magnetic resonance (MR) imaging. Sixty-nine patients also underwent brain computed tomography (CT). Clinical data were correlated with findings from MR imaging and CT and the finaldiagnosis by means of logistic regression. RESULTS: Thirteen(4%) patients had surgical space-occupying lesions. Seven independent multivariate predictors of a surgical lesion were identified. Sleep-related headache and no family history of migraine were the strongest predictors. Other predictors included vomiting, absence of visual symptoms, headache of less than 6 months duration, confusion, and abnormal neurologicexamination findings. A positive correlation between number of predictors and risk of surgical lesion was noted (P < .0001). No difference between MR imaging and CT was noted in detection of surgical space-occupying lesions, and there were no false-positive or false-negative surgical lesions detected with either modality on the basis of clinical follow-up. CONCLUSION: Children at high risk on the basis of these criteria usually require neuroimaging, while children at low risk may be safely followed up clinically without neuroimaging.

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Documento generato il 05/12/20 alle ore 00:12:26