Sleep Disorders in Pediatric Migraine: A Questionnaire-Based Study

Voci, Alessandra; Bruni, Oliviero; Ferilli, Michela Ada Noris; Papetti, Laura; Tarantino, Samuela; Ursitti, Fabiana; Sforza, Giorgia; Vigevano, Federico; Mazzone, Luigi; Valeriani, Massimiliano; Moavero, Romina

doi:10.3390/jcm10163575

Cited by 11 publications

(6 citation statements)

References 42 publications

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“…That is a mutual interaction. In a survey study conducted in a pediatric headache population of 140 patients, it was shown that sleep disturbance accompanied primary headache in 102 (72.9%) patients 22 . In addition, vertigo and vomiting were found to be statistically more common in the sleep disorder plus primary headache group.…”

Section: Discussionmentioning

confidence: 99%

Management and behavior‐modifying recommendation effects in childhood headache

Güngör

Güler

Karagöz

2023

Pediatrics International

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BackgroundHeadaches are common in childhood. Recently, there has been an increasing trend toward pharmacological treatment.MethodsSecondary causes were excluded first in patients who attended our clinic with headache. Those without a secondary cause were evaluated as primary headache and classified into subgroups. Behavior‐modifying recommendations (adequate and regular sleep, adequate and regular nutrition, adequate fluid intake, and restriction of screen exposure) were given to all patients. Patients were re‐evaluated at 1, 3, and 6 months. Pharmacologic treatment was started at the end of the first month with follow‐up at the third and sixth months for those who did not benefit from the behavior‐modifying recommendations.ResultsA total of 875 patients presented with headache complaints, of which 30.6% were evaluated as primary headache. Behavior‐modifying recommendations were beneficial for 23.1% with migraine with aura; 20.3% with migraine without aura, and 36.8% with tension‐type headache.ConclusionSecondary causes should be excluded first in patients who present to the pediatric neurology clinic with headache. Behavioral modifications to change the lifestyle of patients diagnosed with primary headache should be tried before giving pharmacologic treatment.

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Section: Discussionmentioning

confidence: 99%

Management and behavior‐modifying recommendation effects in childhood headache

Güngör

Güler

Karagöz

2023

Pediatrics International

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“…Sleep disturbances are very common. About 25% of children suffer from them [ 24 ]. There is a mutual dependence between sleep and headaches.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, poor sleep has a correlated state of migraine chronicity. On the other hand, migraine can be seen as a possible cause of sleep disturbances [ 24 , 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Evolution of Pediatric Migraine Patients Admitted at an Emergency Department after a 10-Year Follow-Up

Manzo

Reina

Correnti³

et al. 2023

JCM

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Background: Despite its high prevalence, the clinical course of pediatric migraine has not been fully understood, and previous studies present conflicting results. We present here the findings of a 10-year follow-up study involving children with severe migraine pain admitted to our emergency department. Furthermore, all studies were carried out on selected outpatient clinical case studies. Our aim was to evaluate a population of migraine children admitted to an emergency department because of increased severity or frequency of pain or even because of very anxious parents concerning their child’s headache in order to describe their long-term outcomes, whether it differed from that of outpatient populations and to identify possible predictors of prognosis. Methods: We recruited 80 subjects with migraine headaches (mean age 8 years with a range of 4–14 years, 50% females), attending the baseline examination of a population admitted for a headache to the Emergency Department in the first half year of 2012. Of the 80 subjects, 48 (60%) were eligible for follow-up in 2022. We included in our study only patients diagnosed with migraine, according to the diagnostic criteria of the International Classification of Headache Disorders. All were contacted by telephone, and a semi-structured questionnaire was provided to them by email. The association between several possible prognostic factors (gender, familiar neurologic disorders, prenatal and perinatal disorders, social activities, sleep disorders, etc.) and the long-term persistence of migraine headaches were explored using logistic regression analysis. Results: Of 48 subjects with migraine headaches at baseline, 31 (65%) had persistent migraine, and 17 (35%) experienced remission. The preliminary results showed that the presence of neurologic disorders in parents (p < 0.01—odds ratio 9.34 (2.53–41.64) and sleep disorders (p < 0.01—odds ratio 13.18 (2.25–252.74) significantly predicted the 10-year persistence of migraine headaches, while the other considered predictors were found not to influence prognosis. Conclusions: To our knowledge, this was the first study conducted on a selected pediatric population upon admission to the emergency room. Our study suggests that a population of pediatric migraine selected for admission to the emergency department also shows a favorable long-term prognosis, like the studies conducted in the outpatient sample. Familial neurological comorbidity and sleep disorders were unfavorable factors for predicting good outcomes.

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“…On the other hand, targeting both disorders at the same time can significantly ameliorate the quality of life of patients (and their families) and reduce all symptoms. A recent study by our group (published after the period considered for this review article) aimed at analyzing the relationship between migraines and sleep in a wide sample of pediatric migraine patients [38]. The study was conducted by administering a standardized questionnaire (CSHQ) to patients presenting a definite diagnosis of migraine according to ICHD-3 criteria.…”

Section: Discussionmentioning

confidence: 99%

How to Assess the Headache—Sleep Disorders Comorbidity in Children and Adolescents

Onofri

Ferilli

Tozzi

et al. 2021

JCM

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Sleep disorders and primary headaches are frequent health problems in childhood, and they are often comorbid in an individual, linked by a mutual and complex relationship. This comorbidity is frequent and well-documented, but the available literature is usually biased in favor of one aspect or another, mainly depending on the expertise of the authors. The aim of this paper is to review existing literature on the diagnostic assessment of comorbid primary headaches and sleep disorders, so as to propose practical suggestions to accurately investigate the presence of comorbid conditions in children evaluated for primary headaches or for sleep disorders.

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Sleep Disorders in Pediatric Migraine: A Questionnaire-Based Study

Cited by 11 publications

References 42 publications

Management and behavior‐modifying recommendation effects in childhood headache

Management and behavior‐modifying recommendation effects in childhood headache

Evolution of Pediatric Migraine Patients Admitted at an Emergency Department after a 10-Year Follow-Up

How to Assess the Headache—Sleep Disorders Comorbidity in Children and Adolescents

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