Has clinical activity in paediatric neurology changed in the past 11 years?

Menéndez, B. Martínez; Escamilla, Eduardo Escolar; Gonzalez, A. P.; García, Marta Cerezo; Sarriés, F. J. Martínez; Gracia, Lorenzo Morlán

doi:10.1016/j.nrleng.2014.09.007

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Headache is a common complaint in children and adolescents and is among the top 3 reasons for referral to a neurologist . Migraine accounts for a significant proportion of childhood and adolescent headaches, and in child neurology practice, it is the most common diagnosis made .…”

Section: Introductionmentioning

confidence: 99%

Predictors of Short‐Term Prognosis While in Pediatric Headache Care: An Observational Study

et al. 2019

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Objectives To characterize the short‐term prognosis of a clinical population of pediatric and young adult patients with migraine and explore predictors of clinical worsening while in care. Methods This was a retrospective study of all migraine patients seen at the Cincinnati Children’s Hospital Headache Center from 09/01/2006 to 12/31/2017, who had at least 1 follow‐up visit within 1‐3 months of the index visit analyzed. Included data were: age, sex, race, primary ICHD diagnosis, chronic migraine, medication overuse, history of status migrainosus, BMI percentile, headache frequency, headache severity, PedMIDAS score, allodynia, preventive treatment type, lifestyle habits, disease duration, depressive and anxiety symptoms. Clinical worsening was defined as an increase in 4 or more headache days per month between the index visit and the follow‐up visit. Results Data for 13,160 visit pairs (index and follow‐up), from 5316 patients, were analyzed. Clinical worsening occurred in only 14.5% (1908/13,160), whereas a reduction in headache frequency was observed in 56.8% of visit intervals (7475/13,160), with 34.8% of the intervals (4580/13,160) showing a reduction of 50% or greater. The change in headache frequency was minimal (increase in 0‐3 headaches/month) in 28.7% of intervals (3737/13,160). In the multivariable model, the odds of worsening were significantly higher with increasing age, female sex, chronic migraine, status migrainosus, depressive symptoms, higher PedMIDAS scores, and use of nutraceuticals, whereas the odds of worsening were lower for summer visits, caffeine drinkers, higher headache frequencies, and use of pharmaceuticals. Conclusions The majority of pediatric patients who receive multimodal interdisciplinary care for migraine improve over time. Our findings highlight a set of clinical features that may help in identifying specific factors that may contribute to an unfavorable short‐term prognosis.

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Section: Introductionmentioning

confidence: 99%

Predictors of Short‐Term Prognosis While in Pediatric Headache Care: An Observational Study

et al. 2019

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“…It accounts for a high percentage of pediatric visits. 11 In our study, it was determined that 5.5% of the outpatients evaluated in the pediatric department were seen in the child neurology department. This rate was 16.2% in the study conducted in Spain and 13.9% in Norway.…”

Section: Discussionmentioning

confidence: 85%

“…This rate was 16.2% in the study conducted in Spain and 13.9% in Norway. 3 11 The children and adolescents with neurological diseases constitute a significant proportion of patients in university chronic outpatient clinics. 12…”

Section: Discussionmentioning

confidence: 99%

An Analysis of Disorders Presenting at a Pediatric Neurology Outpatient Clinic: A Report from Turkey

Sarıkaya

2021

Journal of Pediatric Neurology

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Neurological problems constitute an important part of diseases in children. Studies evaluating neurological diseases in children collectively and reporting their types and rates are very few. We report the clinical and laboratory spectra of children presenting with neurological diseases to our clinic. The charts of patients who presented for the first time to the only pediatric neurology outpatient clinic in the region during a year were evaluated retrospectively. A total of 88,785 patients were seen at the Meram Faculty of Medicine pediatric outpatient clinics in 1 year; 5.5% (4,904) of these patients were seen at the child neurology clinic and 1,807 patients (36.8%) were seen for the initial evaluation. Medical charts of 1,685 (93.2%) patients were reviewed: 952 (56.5%) were male patients and 733 were females. The mean age was 5.77 ± 4.92 years; 30.9% of the patients had a similar disease in the family. The top three presenting complaints that led to hospital seen were seizures (12.2%), paroxysmal events (10%), and headaches (9.2%). The most common diagnoses were epilepsy (18%), headache (8.6%), and developmental delay (7.8%). Our study describes the characteristics of the large number of patients seen for the first time in the child neurology outpatient clinic.

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“…Unsurprisingly, given the prevalence and disability associated with headache disorders, they consistently rank among the top three reasons for consultation to pediatric neurology. 12,13 In treating this population, providers have a unique opportunity to change the lives of children and adolescents with headache disorders by addressing current treatment needs and mitigating long-term risks associated with the persistence of headache disorders into adulthood. The majority of youth with headache disorders will continue to experience attacks of headache throughout adulthood.…”

Section: Introductionmentioning

confidence: 99%

Headache in Children and Adolescents

Orr

2024

CONTINUUM: Lifelong Learning in Neurology

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OBJECTIVE This article reviews the assessment of children and adolescents presenting with headache, provides an overview of primary headache disorders, and reviews evidence-based management of headache in this age group. LATEST DEVELOPMENTS In the last few years, new epidemiological data have shed light on less common pediatric headache disorders (eg, pediatric trigeminal autonomic cephalalgias) and psychosocial risk factors associated with primary headache disorders in children and adolescents. There has also recently been a substantial increase in interventions that target the calcitonin gene-related peptide pathway and that treat primary headache disorders using noninvasive neuromodulation. Although these interventions have primarily been studied in adults, there is emerging evidence of their use in the pediatric population. ESSENTIAL POINTS Primary headache disorders are very common in youth, and the most commonly encountered headache diagnosis in neurology practice is migraine, which affects approximately 10% of children and adolescents. Diagnosing and effectively treating primary headache disorders before adulthood may have a sustained impact on the patient by improving long-term headache and mental health outcomes, thereby significantly reducing the burden of disability over time. There are several available and emerging acute and preventive interventions for youth with primary headache disorders, and treatment decisions should be made in the context of available evidence using a shared decision-making approach.

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Has clinical activity in paediatric neurology changed in the past 11 years?

Cited by 3 publications

References 16 publications

Predictors of Short‐Term Prognosis While in Pediatric Headache Care: An Observational Study

Predictors of Short‐Term Prognosis While in Pediatric Headache Care: An Observational Study

An Analysis of Disorders Presenting at a Pediatric Neurology Outpatient Clinic: A Report from Turkey

Headache in Children and Adolescents

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