儿童偏头痛和紧张型头痛是常见的原发性头痛。儿童存在发展为继发性头痛的风险。本研究旨在评估患有偏头痛或紧张型头痛的儿童的磁共振成像（MRI）结果。该研究招募了在小儿神经科门诊进行定期门诊访视至少两年，并在最近一年进行神经影像学检查的患有偏头痛或紧张型头痛的儿童。
共研究了280位患者（187位女性患者）的数据。其中，91位（61位女性患者）被诊断为偏头痛，189位（126位女性患者）被诊断为紧张型头痛。患者的年龄为13.1±3.4岁。一个患有紧张型头痛且伴有视乳头水肿的儿童被发现有脑肿瘤。偶发的MRI结果在偏头痛和紧张型头痛中分别为7.7%和12.7%。该研究中的MRI结果包括蛛网膜囊肿（14例）、垂体腺瘤（6例）、巨大后脑池（6例）、松果囊肿（3例）、非特异性星形胶质病变（2例）和肿瘤（1例）。蛛网膜囊肿是与儿童偏头痛或紧张型头痛最常见的偶发性MRI结果。儿童可能会出现罕见且危及生命的继发性头痛。作为神经系统检查的补充，眼底检查对于要求进行MRI可能很有用。© 2023. BioMed Central Ltd., part of Springer Nature.

Migraine and tension-type headache are common primary headaches in children. There is a risk of developing secondary headache in children. The current study was aimed to evaluate magnetic resonance imaging findings (MRI) in children with migraine or tension-type headache.The study was planned in children with migraine or tension-type headaches who have been followed up in the pediatric neurology outpatient clinic with regular office visits for at least two years and had neuroimaging in the last year.280 patients (187 female patients) datas were studied. 91 (61 female patients) were followed up with the diagnosis of migraine and 189 (126 female patients) with the diagnosis of tension-type headaches. The age of patients was found to be 13.1 ± 3.4 years. Brain tumor was found in one child with tension-type headache who had papilledema. Incidental MRI findings found 7.7% and 12.7% in migraine and tension-type headache, respectively. MRI findings in the study were arachnoid cyst (14), pituitary adenoma (6), mega cisterna magna (6), pineal cyst (3), non-specific gliosis (2) and tumor (1).Arachnoid cysts were found incidental as the most common MRI finding in children with migraine or tension-type headache. The rare life-threatening secondary headache may develop in children. The fundus examination as a complement to the neurological examination can be useful for requesting MRI.© 2023. BioMed Central Ltd., part of Springer Nature.