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儿童偏头痛的发病率为2.0％—4.6％,与发热性惊厥之发病率相同。有些偏头痛的变异型常见于一岁以内(眼肌麻痹性偏头痛和儿童交替性偏瘫)而有些则只见于较大儿童和青少年(偏瘫性偏头痛和急性精神混乱状态)。对基底动脉性偏头痛(BAM)所知甚少。BAM侵犯基底动脉及其分枝,表现为脑干,小脑和枕叶皮质功能障碍。本文报告30例儿童BAM。诊断根据是:有明确发作性头痛和/或偏头痛家族史以及有下列一种或多种症状发作之儿童,(1)平衡障碍或眩晕,(2)共济失调步态,(3)视力障碍而无眼病,(4)颅神经障碍(眼肌麻痹性偏
The incidence of migraine in children is 2.0% -4.6%, the same as the incidence of febrile seizures. Some migraine variants are common within one year of age (ophthalmoplegia migraine and children with alternate paralysis), while others are found only in older children and adolescents (hemiplegic migraine and acute psychiatric disorders). Little is known about basilar artery migraine (BAM). BAM violations of the basilar artery and its branches, manifested as brainstem, cerebellar and occipital cortical dysfunction. This article reports 30 children with BAM. The diagnosis was based on a clear onset of headache and / or a family history of migraine as well as in children with one or more of the following symptoms, (1) impaired balance or dizziness, (2) ataxia gait, (3) visual acuity Barrier without eye disease, (4) cranial nerve disorder (ophthalmoplegia partial