Reconsideration of the diagnosis and treatment of childhood migraine: A practical review of clinical experiences

  title={Reconsideration of the diagnosis and treatment of childhood migraine: A practical review of clinical experiences},
  author={Yoshiaki Saito and Gaku Yamanaka and Hideki Shimomura and Kazuhiro Shiraishi and Tomoyuki Nakazawa and Fumihide Kato and Yuko Shimizu-Motohashi and Masayuki Sasaki and Yoshihiro Maegaki},
  journal={Brain and Development},
OBJECTIVE To provide insight into the wide spectrum of migraine during childhood to establish practical and comprehensive treatment strategies. BACKGROUND Although recent studies have confirmed the effect of anti-migraine agents in childhood headaches fulfilling the criteria of migraine without aura, there have been no studies regarding the efficacy of these drugs in childhood migraine without aura not filling the diagnostic criteria. METHODS In total, 154 patients with a clinical diagnosis… Expand
Topical In Vivo Liquid Catalase on Scalp and Migraine Headache Cessation in an Adolescent: A Biophysics Based Hypothesis
Findings are introduced that when liquid topical catalase was applied to selective scalp painful areas during migraine headaches the pain crisis subsided and a Biophysics based hypothesis is stated as the proposed factor for pain relief. Expand
Efficacité supérieure du Mélange Équimolaire d'Oxygène et de Protoxyde d’Azote (MEOPA) par rapport aux AINS (Anti Inflammatoires Non Stéroïdiens) dans le traitement de la crise migraineuse de l’enfant aux Urgences Pédiatriques
Objectif : Le but de cette etude etait de demontrer l'efficacite superieure du MEOPA (Melange Equimolaire d'Oxygene et de Protoxyde d'Azote) par rapport aux anti-inflammatoires non steroidiens (AINS)Expand


Pediatric migraine and the International Headache Society criteria
The IHS criteria for migraine without aura have poor sensitivity but high specificity using a clinical diagnosis as the gold standard and should be modified to better reflect current pediatric clinical practice. Expand
Critical analysis of diagnostic criteria (ICHD-3 beta) about migraine in childhood and adolescence.
The current ICHD-3 beta classification improves and advances migraine diagnosis in children and adolescents; however, more research is needed to identify additional characteristics of headache in this age group. Expand
Multicenter prospective evaluation of proposed pediatric migraine revisions to the IHS criteria. Pediatric Headache Committee of the American Association for the Study of Headache.
Significant improvement in the diagnostic sensitivity of migraine in the pediatric population was obtained by specific modifications to the IHS criteria pertaining to duration, location, and the symptoms of photophobia and phonophobia in an ongoing multicenter prospective study. Expand
Migraine in Childhood and Its Prognosis
  • B. Bille
  • Medicine
  • Cephalalgia : an international journal of headache
  • 1981
In 1955 a population study in Uppsala comprising about 9,000 school children showed that migraine increased from 1.4% at the age of seven to 5.3% at fifteen. With increasing age there was anExpand
The Effect of Paroxetine on the Reduction of Migraine Frequency is Independent of Its Anxiolytic Effect
Observations indicate that the anxiolytic effect of paroxetine does not contribute strongly to its prophylactic effect on migraine frequency in migraineurs with anxiety disorder. Expand
A randomized trial of rizatriptan in migraine attacks in children
Oral rizatriptan is effective and well-tolerated for migraine attacks in children over age 6 years and the findings were similar in children using the dose of 5 and 10 mg. Expand
Current Therapies in Childhood and Adolescent Migraine
This review summarizes recent guidelines for diagnosis of migraine in children and adolescents and inherent issues regarding their headaches that influence evaluation of therapies. With the shorterExpand
Multicenter Prospective Evaluation of Proposed Pediatric Migraine Revisions to the HIS Criteria
A comparison of the diagnostic rates of pediatric migraine with and without aura of the total sample revealed IHS (66%) versus IHS‐R (93%) and comparison of a subset of those patients less than 12 years of age (n=39) revealed I HS (49%) versus IIR (87%). Expand
The International Classification of Headache Disorders
The ICHD identifies and categorizes more than a hundred different kinds of headache in a logical, hierarchal system and has provided explicit diagnostic criteria for all of the headache disorders listed. Expand
Chronic daily headache in adolescents
This long-term follow-up study revealed a marked decline in the frequency of chronic daily headache (CDH), however, one fourth of patients still had significant headache disability, suggesting a protracted disease course. Expand