118
CLINICAL CHARACTERISTICS OF HEADACHE IN
CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER
Maksimkulova SH., 2-course Master of Neurology
Academic advisor: Saidkhodjaeva S.N.
TashMPI, Department: Neurology, children’s neurology, medical genetics
.
Introduction:
Studies on the prevalence and clinical characteristics of tension-type headache (TTH)
in children are limited and conflicting. The least explored issue is TTH ADHD in children.
The purpose of the study:
Explore the clinical and neuropsychological and neurophysiological
correlates of tension-type headache in children with ADHD aged 6-12 years.
Materials and methods:
Complex clinical and psychopathological study of 50 children with ADHD
aged 6-12 years, including - DSM5 Questionnaire, Vanderbilt Assessment Scale, projective
psychodiagnostic drawings, interviews, visual analogue scale, and Luscher Colour Test.
Results:
ADHD in children aged 6-12 years includes behavioral, somatic, anxious, phobic, asthenic,
apathetic, pseudo-neurological syndromes. In most children, TTH (74.4%) has been observed. The clinical
picture of TTH is polymorphic, the intensity of headache is estimated by a majority of patients with ADHD
in 5-7 points. Neurological examination of children revealed the symptoms of increased reflex excitability.
In 86.4% of patients, cognitive impairments have been diagnosed: loss of memory and attention to unstable
type. For children with ADHD, comorbid with tension-type headache, emotive, cyclothymic and
hyperthymic types of accentuation of personality, high level of personal anxiety (Luscher test), and
moderate level of depression (on CDRS-R scale) is characteristic.
Conclusion:
Thus, tension-type headache in children is one of the diagnostic markers of ADHD and
determines vectorization of therapeutic interventions, which is an important component of
psychoprophylaxis of the expressed forms of affective disorder at young age.
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МИНИСТЕРСТВО ЗДРАВООХРАНЕНИЯ РЕСПУБЛИКИ
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Педиатрия
3-4 (2011): 34-37.
