A New Treatment Option for Children With Refractory Chronic Paroxysmal Hemicranias: Occipital Nerve Stimulation

Borius, Pierre-Yves; Valade, Dominique

doi:10.1016/j.pediatrneurol.2021.09.010

Cited by 4 publications

(13 citation statements)

References 5 publications

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“…except three children which we noted above (11,39). Migrainous features including nausea (40), vomiting (26, 29,33,38), phonophobia (32,40), photophobia (29,32,34,38), and osmophobia (33,38) were reported in 1, 4, 2, 4 and 2 children, respectively. Patients were often restless or agitated during an attack.…”

Section: Attacks Of Ph Invariably Occur In Association With Ipsilater...mentioning

confidence: 60%

“…A total of 182 records were identi ed and reduced to 116 after removing duplicates. After screening and the application of the eligibility criteria, 22 articles (10,11,(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) met the inclusion criteria. Figure 1 presents the ow diagram of included and excluded articles of our review according to PRISMA (41).…”

Section: Resultsmentioning

confidence: 99%

“…Among previous studies in the pediatric population, CPH, EPH, and not-speci ed-PH were reported in 23, 7, and 5 patients, respectively. PH has been described among children and adolescents in various parts of the world including the United States (USA) (10,23,27,35), Canada (29,39), United Kingdom (UK) (21), Germany (22,25,30,31), France (40), Italy (26, 32, 38), Austria (34), Estonia (36, 37), Brazil (24), Portugal (11), Japan (28), and Korea (33), but the races were not speci ed in most of the studies. Unless one study, the gender of all cases was reported (10).…”

Section: Resultsmentioning

confidence: 99%

“…Patients were often restless or agitated during an attack. While the majority of attacks are spontaneous, common triggers include heat waves (40), tobacco smell (40), stress such as school-attributed problems (29), exercise (31), lack of sleep (33), bouncing on a trampoline (34), and quick movements of the head (34). Overall, the physical examination and electroencephalography (EEG) were normal.…”

Section: Attacks Of Ph Invariably Occur In Association With Ipsilater...mentioning

confidence: 99%

“…One study suggested using a headache diary as both an idea for diagnosis and an initial non-pharmacological therapeutic intervention in children with PH (29). In addition, a recent study describes the rst child treated by occipital nerve stimulation for CPH as a new treatment option for children with refractory CPH (40). PH was rst described in two adult patients by Sjaastad and Dale in 1974 (41).…”

Section: Attacks Of Ph Invariably Occur In Association With Ipsilater...mentioning

confidence: 99%

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Paroxysmal hemicrania in children and adolescents: A systematic review

et al. 2022

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BackgroundIt has been so long since a child was rst diagnosed with paroxysmal hemicrania, however, it is unknown whether children's paroxysmal hemicrania follows the same patterns as adults. We aim to report the accessible demographic, clinical and radiological characteristics of reported pediatric paroxysmal hemicrania. MethodsThis study followed the latest version of PRISMA. PubMed, Web of Science, and Scopus were searched systematically without time limitation. We included all peer-reviewed articles including observational or interventional studies reporting paroxysmal hemicrania cases in children or adolescents based on ICHD criteria. Data extracted included paroxysmal hemicrania class, gender, age, age of onset, frequency, duration, site, severity, and quality of pains, triggers, autonomic and migrainous symptoms, as well as a

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Section: Attacks Of Ph Invariably Occur In Association With Ipsilater...mentioning

confidence: 60%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Attacks Of Ph Invariably Occur In Association With Ipsilater...mentioning

confidence: 99%

Section: Attacks Of Ph Invariably Occur In Association With Ipsilater...mentioning

confidence: 99%

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Paroxysmal hemicrania in children and adolescents: A systematic review

et al. 2022

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Occipital nerve stimulation in pediatric patients with refractory occipital neuralgia

Mossner,

Saleh,

Shahin

et al. 2024

Childs Nerv Syst

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Purpose Occipital neuralgia (ON) is a disabling problem within the pediatric population. Many of these patients fail medical therapies and continue to suffer without further surgical management. Occipital nerve stimulation (ONS) is used to treat ON in the adult population leading to a 72–89% reduction in pain; however, there are limited studies regarding its use in the pediatric population. In this study, we examined the outcomes of ONS in pediatric patients with medically refractory ON. Methods We performed a chart review of pediatric patients at our institution who have undergone ONS for the same indications. Results We identified 3 patients at our institution who underwent ONS trial and/or permanent implantation for ON. One patient had complete pain relief after the trial and declined permanent implantation. The other patient had fewer attacks compared to his pre-trial baseline and controlled them by adjusting his permanent implant stimulation settings. The last patient had near complete relief of her symptoms and no longer required any pain medication. Conclusion Our study highlights the paucity of studies evaluating the utility of ONS in the pediatric ON population. Limited data from both the literature and our institution’s experience reveal that pediatric patients may benefit from trial and/or permanent implantation of ONS for medically refractory ON pain.

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Paroxysmal hemicrania in children and adolescents: a systematic review of case series and case reports

Bemanalizadeh

Mansouri

Dakkali

et al. 2022

Preprint

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Background It has been so long since a child was first diagnosed with paroxysmal hemicrania, however, it is unknown whether children's paroxysmal hemicrania follows the same patterns as adults. We aim to report the accessible demographic, clinical and radiological characteristics of reported pediatric paroxysmal hemicrania.Methods This study followed the latest version of PRISMA. PubMed, Web of Science, and Scopus were searched systematically without time limitation. We included all peer-reviewed articles including observational or interventional studies reporting paroxysmal hemicrania cases in children or adolescents based on ICHD criteria. Data extracted included paroxysmal hemicrania class, gender, age, age of onset, frequency, duration, site, severity, and quality of pains, triggers, autonomic and migrainous symptoms, as well as a sense of restlessness/agitation, response to treatment, laboratory investigations, imaging, comorbidity, and family history. For quality assessment, two independent reviewers assessed the methodological quality of the included studies through the Joanna Briggs Institute critical appraisal checklist. ResultsA total of 182 records were identified and reduced to 116 after removing duplicates. After screening, 22 articles met the inclusion criteria. Overall, the studies represent 35 children or adolescents with paroxysmal hemicrania. We found a male to female sex ratio of 1.125:1. Onset occurred at a broad range of 1–14 years. The mean age of onset among reported cases in children and adolescents was 6.30 years, while the mean age of diagnosis was 7.96 years. The attacks frequency and duration were greatly varied. The left-sided pain was approximately reported twice more than the right-sided headaches. The characteristic of the pain was usually severe in intensity making children restless or agitated during an attack. In nearly all of the cases, it was accompanied by ipsilateral cranial autonomic features. While the majority of attacks are spontaneous, there were some common triggers. The physical examination, EEG, and brain MRI were normal. Almost all patients benefited from Indomethacin and showed complete response to treatment, while some needed combination treatment of Indomethacin with other medications.ConclusionAlthough pediatric-onset paroxysmal hemicrania has similar features to adult-onset paroxysmal hemicrania, there are some misleading challenges with ICHD criteria for younger children, limiting the diagnosis. Moreover, due to concomitant migrainous features paroxysmal hemicrania may be confused with migraine in children and adolescents.Trial RegistrationThis study was registered as a systematic review in PROSPERO.

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A New Treatment Option for Children With Refractory Chronic Paroxysmal Hemicranias: Occipital Nerve Stimulation

Cited by 4 publications

References 5 publications

Paroxysmal hemicrania in children and adolescents: A systematic review

Paroxysmal hemicrania in children and adolescents: A systematic review

Occipital nerve stimulation in pediatric patients with refractory occipital neuralgia

Paroxysmal hemicrania in children and adolescents: a systematic review of case series and case reports

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