Dedicated neuroimaging analysis in children with primary headaches: prevalence of lesions and a comparison between patients with and without migraines

Dedicated neuroimaging analysis in children with primary headaches: prevalence of lesions and a comparison between patients with and without migraines

Background This study evaluated the prevalence and types of intracranial lesions through dedicated imaging analysis of primary headaches in children and compared them between patients with and without migraine. Methods This study included 190 children diagnosed with primary headache who underwent ne...

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Published in:BMC medical imaging Vol. 23; no. 1; pp. 1 - 152
Main Authors: Jeon, Cha Woong, Lim, Gye Yeon, Moon, Ja Un
Format: Journal Article
Language:English
Published: London BioMed Central Ltd 10-10-2023
BioMed Central
BMC
Subjects:
Abnormalities
Angiography
Basal ganglia
Brain
Children
Comparative analysis
Computed tomography
CT imaging
CT scan
Diagnostic imaging
Electronic health records
Electronic medical records
Emergency medical care
Ganglia
Headache
Headaches
Hospitals
Image processing
Insurance policies
Lesions
Magnetic resonance imaging
Medical imaging
Medical records
Medical research
Medicine, Experimental
Migraine
MRI
Neuroimaging
Patients
Pediatric
Pediatrics
Review boards
Sinusitis
Statistical analysis
Germany
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Summary:Background This study evaluated the prevalence and types of intracranial lesions through dedicated imaging analysis of primary headaches in children and compared them between patients with and without migraine. Methods This study included 190 children diagnosed with primary headache who underwent neuroimaging, including brain computed tomography (CT), CT angiography (CTA), and brain magnetic resonance imaging (MRI). All patients with primary headaches was divided into two groups, namely, the migraine and non-migraine groups, on the basis of data from electronic medical records. Clinical characteristics and imaging findings were evaluated and compared between the two groups. Results Patients with migraine were old and had a longer period from symptom onset to diagnosis. CT was normal in 71 of 95 patients, whereas 7 of 29 patients who underwent CTA had vascular lesions; the migraine group (n = 6/20, [30%]) had higher incidence of vascular lesions than the non-migraine group (n = 1/9, [11.1%]); however, there was no statistically significant difference (p = 0.382). Furthermore, 57.5% (61/106) of children showed normal brain MRI. The most common brain MRI finding was dilated perivascular space (n = 18, [16.8%]). Most perivascular spaces were located in the basal ganglia (n = 72, [75.8%]) and were in linear patterns (n = 58, [63.0%]). There was no statistically significant difference between the two groups. Conclusion A low prevalence of significant abnormalities was found in children with primary headaches. Dilated perivascular space was the most common finding in both groups on MRI. CTA showed more vascular lesions in the migraine group than in the non-migraine group. Therefore, further evaluations are needed to reveal the relationship between vascular lesions or dilated perivascular space and pediatric primary headaches. Keywords: Headache, Pediatric, Migraine, CT scan, MRI
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content type line 23
ISSN:1471-2342
1471-2342
DOI:10.1186/s12880-023-01122-2