Comparison of ocular posterior segment parameters in the pediatric population with migraine without aura and tension-type headache

dc.authorid0000-0003-1694-6864
dc.authorid0000-0002-6055-7746
dc.authorid0000-0002-1720-9711
dc.authorid0000-0003-2469-496X
dc.contributor.authorKıvrak, Ulviye
dc.contributor.authorKöle, Mehmet Tolga
dc.contributor.authorKandemir, İbrahim
dc.contributor.authorKaytan, İsmail
dc.date.accessioned2024-12-31T06:01:47Z
dc.date.available2024-12-31T06:01:47Z
dc.date.issued2024
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground. This study aims to compare the posterior ocular structure parameters in children with migraine without aura (MWA), tension-type headache (TTH), and a healthy control group. Methods. The study included 31 patients with MWA, 29 patients with TTH, and 38 healthy controls between 6 and 18 years of age. For all participants, the detailed eye examination and measurements including peripapillary retinal nerve fiber layer (pRNFL) thickness, central macular thickness (CMT), subfoveal choroidal thickness (SCT), macular vessel densities and foveal avascular zone (FAZ) parameters measured by optical coherence tomography (OCT) and OCT-angiography (OCTA), were obtained from the patient files. Results. The mean age was 12.1±3.3 years in MWA patients, 12.4±2.8 years in TTH patients, and 11.9±3.8 years in the healthy controls (p=0.844). Among the groups, the mean pRNFL thickness, CMT, and SCT values were lowest in the MWA group. However, this difference was not statistically significant (p=0.621, p=0.854 and p=0.201, respectively). The mean and four-quadrant (superior, inferior, temporal, nasal) pRNFL thicknesses, the CMT, and the SCT were not statistically significant between the groups (p=0.621, p=0.500, p=0.186, p=0.565, p=0.744, p=0.854 and p=0.201, respectively). The macular vascular densities were lower in MWA patients than in the other two groups, and there was a statistically significant difference between the groups only in the nasal quadrant of the deep retinal capillary plexus (p = 0.014). There were also no statistically significant differences between the groups in the superficial and deep FAZ area parameters (p=0.652 and p=0.985). Conclusion. This study suggested that differential diagnosis between MWA and TTH can be difficult in childhood, as these conditions, which can present with ocular symptoms, may also be characterized by changes in posterior segment parameters. Long-term studies incorporating OCT-A in larger patient populations may provide valuable insights into retinal changes associated with these two distinct headache spectrums.
dc.identifier.citationKıvrak, U., Köle, M. T., Kandemir, İ., & Kaytan, İ. (2024). Comparison of ocular posterior segment parameters in the pediatric population with migraine without aura and tension-type headache. The Turkish Journal of Pediatrics, 66(6), pp. 758-767. https://doi.org/10.24953/turkjpediatr.2024.4687
dc.identifier.doi10.24953/turkjpediatr.2024.4687
dc.identifier.endpage767
dc.identifier.issn0041-4301
dc.identifier.issn2791-6421
dc.identifier.issue6
dc.identifier.scopusqualityQ3
dc.identifier.startpage758
dc.identifier.urihttps://doi.org/10.24953/turkjpediatr.2024.4687
dc.identifier.urihttps://hdl.handle.net/20.500.13055/875
dc.identifier.volume66
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorKandemir, İbrahim
dc.institutionauthorid0000-0002-1720-9711
dc.language.isoen
dc.publisherHacettepe University Institute of Child Health
dc.relation.ispartofThe Turkish Journal of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPediatric Migraine
dc.subjectPediatric Tension-Type Headache
dc.subjectOptical Coherence Tomography-Angiography
dc.subjectMacular Vessel Density
dc.subjectFoveal Avascular Zone
dc.titleComparison of ocular posterior segment parameters in the pediatric population with migraine without aura and tension-type headache
dc.typeArticle
dspace.entity.typePublication

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