Migraine Headache in the Infant and Young Child

Elser, Joseph M.; Woody, Robert C.

doi:10.1111/j.1526-4610.1990.hed3006366.x

Cited by 55 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9,15,16 Conversely, our review of the literature revealed only one prospective study of children with very early-onset (5 to 42 months) migraine-type headaches, with a follow-up lasting just a few months." 8 As regards the clinical evolution of headache in our sample, 16/25 (64%) patients presented a full remission, whereas the other 9/25 (36%) continued to experience headache, even though 4/25 (16%) showed an improvement of their clinical picture. This finding was in accordance with the results of another study, which reports a marked trend toward improvement (around 50% of cases after 5 to 10 years) and a high percentage of spontaneous remission of headache (30% to 40%) at various intervals from the initial evaluation.…”

Section: Commentsmentioning

confidence: 84%

Idiopathic Headache in Children Under Six Years of Age: A Follow‐Up Study

Balottin¹,

Termine²,

Nicoli³

et al. 2005

Headache

View full text Add to dashboard Cite

Our results suggest that the ICHD-II criteria are too restrictive to allow the classification of migraine without aura and TTH in preschool children. Nevertheless, a diagnosis based on these criteria was possible in all the patients with headache persistence at the end of several years' follow-up. We found a significant association between early somatic disorders and persistence of headache and also between the presence of psychiatric disorders at the end of follow-up and the persistence of headache. "Life events," on the other hand, while not showing a statistically significant association with the evolution of the headache, may nevertheless influence the course of the headache in some patients. Our results suggest that environmental and psychological factors play an important role in idiopathic headache with onset in preschool age, and thus that the diagnostic-therapeutic approach must take these factors into account.

show abstract

Section: Commentsmentioning

confidence: 84%

Idiopathic Headache in Children Under Six Years of Age: A Follow‐Up Study

Balottin¹,

Termine²,

Nicoli³

et al. 2005

Headache

View full text Add to dashboard Cite

show abstract

“…Die Ma gne si um pro phy laxe im Er wach se nen al ter gilt wohl nur deshalb als nicht son der lich er folg reich, weil wirk sa me Do sie run gen eine Di ar rhö mit der Fol ge man geln der Com plian ce hervor ru fen [14]. Es exis tie ren Fall be rich te zu Klein kin dern von er folg rei chen Mi grä-ne pro phy la xen mit Imi pra min und Amitri pty lin [3,6]. Den Ein satz die ser Me dika men te hal ten wir je doch we gen mög licher re le van ter Ne ben wir kun gen im Kleinkin dal ter für nicht sinn voll.…”

Section: Un Ter Su Chungunclassified

“…Ne ben den Mi grä ne vor läu fern gibt es aber auch eine Rei he von Be rich ten über einen Be ginn der "ech ten" Mi grä ne kopfschmer zen bei Klein kin dern [2,3,6]. So berich tet Bar low [3] über meh re re 6-18 Mona te alte Kin der, die ihre Mi grä ne schmerzen deut lich lo ka li sie ren konn ten durch Fest hal ten ih res Kopf es, Zei gen auf eine Sei te des Kopf es oder ver ba le Äu ße run gen wie "Mama Kopf ", "boo-boo Kopf " oder "Kopf weh".…”

Section: Anam Ne Seunclassified

“…Die Kopf schmer zen wa ren beglei tet von Er bre chen (9 von 13 Kin dern), Ver hal tens auf fäl lig kei ten (7 von 13), Bläs-se (6 von 13) oder Ata xie (4 von 13). Ver einzelt be trug die Kopf schmerz dau er nur weni ge Mi nu ten bei durch aus auch mehr mali gem täg li chem Auf tre ten, wie es auch bei J. von der Mut ter ini ti al be rich tet wur de [2,6]. Auch bei äl te ren Kin dern wer den Mi grä-ne at ta cken von un ter 1 h Dau er be rich tet [1].…”

Section: Anam Ne Seunclassified

See 1 more Smart Citation

Individuelle Kinder — individuelle Kopfschmerzen

Wamsler

Schürmann

Dubbel

et al. 2006

Schmerz

View full text Add to dashboard Cite

In the industrialized nations headache prevalence is increasing in children and adolescents. The nosologic classification determines the therapeutic strategy to follow. Three case reports illustrate the optimal cooperation of both a pediatric outpatient pain clinic and a pediatric psychosomatic pain clinic. We report on (1) a girl aged 2 years and 7 months with a 4-month history of headache episodes lasting about 15 min each with concomitant symptoms; (2) an 11-year-old boy with Schimmelpenning-Feuerstein-Mims syndrome, symptomatic focal epilepsy, psychomotor retardation, mild postinfectious internal hydrocephalus, and repeated heat-triggered episodes of right-sided headache beginning suddenly with a duration of 5-30 min and concomitant flush of his hemiface; and (3) a 12-year-old boy who for about 2 years has suffered from "migraine" 3 times a week, significantly impairing his quality of life. We discuss the patients' courses, diagnostic pitfalls, and therapeutic options. For the optimal treatment of children with headache not easily fitting into one of the categories, with significant comorbidity present, or if there is no adequate response to therapy conforming with guidelines, the help of an interdisciplinary pediatric pain clinic is invaluable.

show abstract

“…Actually, headache occurring in childhood and adolescence rarely demonstrates characteristics typically found in adult headache sufferers [Prensky and Sommer, 1979;Elser and Woody, 1990;Silberstein, 1990;Lanzi and Balottin, 1993;Winner and Martinez, 1995;Wober-Bingol et al, 1995Arav-Boger andSpirer, 1997;Balottin et al, 1997]. The recently revised IHS classification (International Classification of Headache Disorders-II [ICHD-II]) includes criteria that better reflect the peculiarities of migraine, with and without aura (MA and MwA, respectively) in childhood and adolescence.…”

Section: Introductionmentioning

confidence: 98%

Evidence‐based medicine in migraine prophylactic treatment in childhood and adolescence

Balottin

Ferri

Termine

2007

Drug Development Research

View full text Add to dashboard Cite

Migraine is a common and disabling disorder, affecting children, adolescents, and adults. Prophylactic therapy should be considered when specific clinical conditions are fulfilled. Its goal is to reduce the frequency and duration of the attacks as well as the severity of pain, thus allowing patients to regain routine activities and ameliorating their quality of life. Using the principles of evidence-based medicine, a review of available published data on the efficacy and safety of prophylactic treatments for migraine in children and adolescents is presented. Currently, only flunarizine and psychologically based interventions (e.g., relaxation training, biofeedback, and psychotherapeutic techniques) may be effective in migraine prophylaxis in children and adolescents. Owing to the paucity of evidence, there is a need for large, controlled, randomized, and masked trials. Clinical researchers should consider that migraine, especially in childhood and adolescence, is a complex condition, resulting from the interaction between biological, psychological, and environmental factors. Specific events, constitutional predisposition, individual and environmental-emotional dynamics can play a significant role in the genesis and evolution of pain. Age-related characteristics such as prevalence, diagnosis, quality of life, and therapy should be considered designing future studies. Drug Dev Res 68: 461-468, 2007.

show abstract

Migraine Headache in the Infant and Young Child

Cited by 55 publications

References 0 publications

Idiopathic Headache in Children Under Six Years of Age: A Follow‐Up Study

Idiopathic Headache in Children Under Six Years of Age: A Follow‐Up Study

Individuelle Kinder — individuelle Kopfschmerzen

Evidence‐based medicine in migraine prophylactic treatment in childhood and adolescence

Contact Info

Product

Resources

About