Migraine in children and adolescents: modern principles of diagnostics and treatment

Головачева, В. А.; Golovacheva, A. A.; Антоненко, Л. М.

doi:10.14412/2074-2711-2021-6-111-116

RJTAO

2021

DOI: 10.14412/2074-2711-2021-6-111-116

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Migraine in children and adolescents: modern principles of diagnostics and treatment

В. А. Головачева

A. A. Golovacheva

Л. М. Антоненко

Abstract: Migraine is a nervous system disorder that affects 7.7% of children and can debut before the age of 3 years. As they get older, the incidence of migraine increases, and among adolescents, its prevalence reaches 15%. The disease can significantly reduce the child's daily activity, school performance. Migraine is the most common cause of headache in children and adolescents, but it is not always diagnosed; it is not uncommon for patients with migraine to be misdiagnosed and given ineffective treatment. An effect… Show more

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2023

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Cited by 4 publications

References 42 publications

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Treatment of chronic migraine and insomnia with cognitive behavioral therapy

Головачева

2023

Medicinskij sovet

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Introduction. Chronic migraine (CM) is a neurological disease which is often comorbid with chronic insomnia (CI). The interdisciplinary approach including the cognitive behavioural therapy (CBT) is recommended for the treatment of patients with CM and comorbid CI.Aim. To evaluate the effectiveness of the interdisciplinary treatment program including CBT in the treatment of patients with CM and CI. Materials and methods. A total of 54 patients with CM and CI (19 men and 35 women, mean age 34.1 ± 8.5 years), were enrolled in the study. The clinical and psychological characteristics were assessed before and after treatment (at Month 3, 6, 12) using interviewing, testing, headache and sleep diaries. All patients received the interdisciplinary treatment, including pharmacotherapy, discontinuation of pain medications in the presence of drug-induced headache (DIHA), CBT for headache and insomnia.Results. Three months after treatment, there was a statistically significant decrease in mean scores for headache frequency, pain drugs dosing interval, insomnia severity index, as well as according to the Spielberger Khanin's Reactive and Personal Anxiety Scale, Beck Depression Scale, Impact of Migraine on Daily Activities Scale (p < 0.05). The achieved improvements were maintained at Months 6 and 12 of the follow-up period. At Month 3, 35 (65%) patients achieved a clinical effect in the treatment of CM: the frequency of headache decreased by 50% or more, 41 (76%) patients achieved a clinical effect in the treatment of CI: the insomnia severity index decreased by 8 scores and more. At Month 6, 42 (77.8%) patients had a clinical effect in CM therapy, and 44 (81.5%) patients in CI therapy. The achieved clinical effects have been shown to be maintained by Month 12 of the follow-up period.Conclusion. The interdisciplinary program including CBT is effective in the treatment of patients with CM and CI over the shortand long-term horizon.

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Treatment of chronic migraine and insomnia with cognitive behavioral therapy

Головачева

2023

Medicinskij sovet

Self Cite

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Primary Headaches in Adolescents With Dependence on Computer Games and Social Networks. Approaches to the Treatment and Prevention of Migraine in Children and Adolescents

Kostyuchenko,

Potupchik,

Evert

et al. 2023

Vrach

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A review of data on the main types of primary cephalgia in adolescents (headache tension and migraine), their prevalence, classification, clinical manifestations, basic principles of treatment and prevention is presented. The results of our own study, which showed a closer relationship between the frequency of occurrence and clinical features of these types of pathology with the presence of addiction to computer games and social networks in adolescents, are included. Of the 5195 surveyed adolescents, 8.1% had an to social media addiction, 10.5% had a Gaming Addiction, including 7.7% moderate and 2.8% severe. The authors come to the conclusion that it is necessary to analyze the characteristics of Internet use and content consumed by adolescents for early diagnosis, treatment and prevention of primary cephalalgia associated with the presence of gaming addiction and dependence on social networks, highlight approaches to the treatment of migraine in adolescents.

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Cephalgic Syndrome Correction in Pediatric Patients at the Sanatorium Treatment Stage: a Simple Randomized Prospective Study

Rachin

Korsunskaya

Zavadskaya

et al. 2022

Bulletin of Rehabilitation Medicine

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INTRODUCTION. Diagnosis and treatment of headache in pediatric patients is of priority medical and social importance, including when correcting it at the sanatorium and health resort stage. Difficulties and problems are associated with the complexity of taking an anamnesis in children, incorrect diagnosis, comorbidity, the need for timely correction of risk factors, and the appointment of the effective pathogenetically proved treatment. AIM. To determine the structure and features of the cephalgic syndrome in pediatric patients undergoing treatment in Evpatoria sanatoriums and to determine the effectiveness of psychological correction in the treatment of patients with frequent tension-type headache by using the method of music therapy method. MATERIAL AND METHODS. As a result of a complex examination of pediatric patients, 150 patients with headache complaints were selected out of 513 examined by the method of simple random sampling. Together with a psychologist, a subgroup of 30 patients with frequent tension headaches was selected from the total number of patients after psychological testing for whom music therapy was included in the treatment plan. RESULTS AND DISCUSSION. In the structure of the cephalgic syndrome the prevalence of tension headache was revealed, while 20% of patients had frequent episodic tension headache against the background of increased anxiety and fatigability, which significantly affects quality of life and social functioning. The patients who underwent correction of tension headaches by music therapy showed improvement of extraversion indices, reduction of neuroticism, decrease of anxiety, fatigability and irritability indices, decrease of frequencyand intensity of headaches. None of the patients were diagnosed with headache according to ICHD-III in the referral diagnosis for sanatorium treatment, but were diagnosed with vegetative-vascular dystonia and other comorbidities. CONCLUSION. The obtained data of a complex examination made it possible to substantiate a pathogenetically differentiated rehabilitation course in sanatorium treatment and led to an increase in the efficiency and quality of treatment for each patient. Using the method of music therapy, emotional and psychological correction was carried out, which occupies an important place in the relief of headache in pediatric patients.

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Migraine in children and adolescents: modern principles of diagnostics and treatment

Cited by 4 publications

References 42 publications

Treatment of chronic migraine and insomnia with cognitive behavioral therapy

Treatment of chronic migraine and insomnia with cognitive behavioral therapy

Primary Headaches in Adolescents With Dependence on Computer Games and Social Networks. Approaches to the Treatment and Prevention of Migraine in Children and Adolescents

Cephalgic Syndrome Correction in Pediatric Patients at the Sanatorium Treatment Stage: a Simple Randomized Prospective Study

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