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Specialty: Pediatrics
Condition: Migraine

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Total 60 results found since Jan 2013.

Paediatric cerebral sinovenous thrombosis: findings of the International Paediatric Stroke Study
Conclusions Our study extends the observations of previously published smaller studies in children with CSVT that this is a morbid disease with diverse underlying causes and risk factors. Divergent treatment practices among highly specialised centres as well as limited data on treatment efficacy and safety suggest that further study of this condition is warranted.
Source: Archives of Disease in Childhood - January 20, 2015 Category: Pediatrics Authors: Ichord, R. N., Benedict, S. L., Chan, A. K., Kirkham, F. J., Nowak-Gottl, U., Ashwal, deVeber, Ferriero, Fullerton, Ichord, Kirkham, Lynch, O'Callaghan, Pavlakis, Sebire, Willan, Kirton, Moharir, Sofronas, Nowak-Gottl, During, Krumpel, Dowling, Plumb, Jou Tags: Epidemiologic studies, Drugs: cardiovascular system, Epilepsy and seizures, Headache (including migraine), Pain (neurology), Stroke, Child health, Memory disorders (psychiatry) Original article Source Type: research

Twin surgeries bring this family a stroke of luck
Ryan Earle is outgoing and upbeat, goofing around in his neurosurgeon’s office. He’s had two strokes, but he’s recovering steadily, a testament to the resilience of children’s brains. His twin brother Tyler, with him at the visit, has avoided a likely stroke altogether. Both Ryan and Tyler, 8, have a rare brain disorder called moyamoya disease, in which the internal carotid arteries become narrowed, slowing the flow of blood to their brains. Without surgery, moyamoya poses a five-year stroke risk of 60 to 90 percent. The boys’ moyamoya symptoms were subtle: “They would have a mild headache, then they’d throw ...
Source: Thrive, Children's Hospital Boston - December 29, 2014 Category: Pediatrics Authors: Lisa Fratt Source Type: news

Hyperbaric oxygen for neurologic indications. Action plan for multicenter trials in: stroke, traumatic brain injury, radiation encephalopathy and status migrainosus
Publication date: September–October 2012 Source:Pediatria Polska, Volume 87, Issue 5 Author(s): Harry T. Whelan , Ann K. Helms Introduction: There is great interest in using hyperbaric oxygen (HBO) to treat neurological disease. The exquisite sensitivity of neural tissue to hypoxia makes increased oxygenation attractive as a therapy for disease processes that induce ischemia, edema, and, more recently, apoptosis. Four things specifically exist as targets for future projects and clinical trials: (1) stroke (2) traumatic brain injury (3) radiation induced necrosis and (4) status migrainosus. Methods: Specific aims: Strok...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Headache does not equal stroke in sickle cell
Headache is a common complaint in children with sickle cell disease. Dowling et al conducted a planned secondary analysis from the Silent Infarct Transfusion Trial to determine whether recurrent headache or, more specifically, migraine were predictive of silent cerebral infarction in children with sickle cell disease. In a cross-sectional study of 872 children, about one-third had headaches and 15% had migraines. Asymptomatic cerebral infarcts were not more likely in patients with recurrent headaches or migraine. As a take-home point, the authors note that neuroimaging may not be needed for children with sickle cell diseas...
Source: The Journal of Pediatrics - April 16, 2014 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspectives Source Type: research

Headache and Migraine in Children with Sickle Cell Disease Are Associated with Lower Hemoglobin and Higher Pain Event Rates But Not Silent Cerebral Infarction
Objective: To identify risk factors for headache and migraine in children with sickle cell disease and test the hypothesis that either or both are independently associated with silent cerebral infarcts.Study design: In this cross-sectional study, we evaluated the health history, laboratory values, and brain magnetic resonance imaging findings of participants with sickle cell disease (hemoglobinSS or hemoglobinSβ°-thalassemia) with no history of overt stroke or seizures. Participants characterized headache severity and quality. Migraine was defined by International Headache Society criteria modified for increased sensitiv...
Source: The Journal of Pediatrics - February 19, 2014 Category: Pediatrics Authors: Michael M. Dowling, Michael J. Noetzel, Mark J. Rodeghier, Charles T. Quinn, Deborah G. Hirtz, Rebecca N. Ichord, Janet L. Kwiatkowski, E. Steven Roach, Fenella J. Kirkham, James F. Casella, Michael R. DeBaun Tags: Original Articles Source Type: research

Malignant Paraganglioma Presenting With Hemorrhagic Stroke in a Child
We report here the case of a 12-year-old boy with malignant sympathetic paraganglioma presenting with hemorrhagic stroke. Severe hypertension was found and the patient evolved into a coma. Brain computed tomography scan showed right thalamus hemorrhage with intraventricular extension. After clinical improvement, further investigation revealed elevated catecholamine and metanephrine levels, and 2 abdominal tumors were identified by computed tomography. Resection of both lesions was performed, and histologic findings were consistent with paraganglioma. Multiple metastatic involvement of bones and soft tissues appeared severa...
Source: PEDIATRICS - December 2, 2013 Category: Pediatrics Authors: Luiz, H. V., da Silva, T. N., Pereira, B. D., Santos, J. G., Goncalves, D., Manita, I., Portugal, J. Tags: Case Report Source Type: research

Heat stroke related to the use of topiramate. The importance of prevention.
We present the case of a patient who developed heat stroke due to physical exercise while under topiramate treatment. PMID: 24290155 [PubMed - as supplied by publisher]
Source: Anales de Pediatria - November 27, 2013 Category: Pediatrics Authors: Rosich Del Cacho M, Pareja Grande J, Martínez Jiménez MD, Latorre Latorre JF, Bejarano Ramírez N, López-Menchero Oliva C Tags: An Pediatr (Barc) Source Type: research

Subconcussive blows and soccer: what’s the headache?
As the fall sports ramps up, teen athletes across the country are donning shin guards and cleats, prepping to return to their beloved sport—soccer. A handful, however, are foregoing the ritual. One child sitting on the sidelines is the 13-year old daughter of Ken Reed, sports policy director of the League of Fans. Reed and his wife decided the risk of short- and long-term brain damage from subconcussive blows to the head outweighed the benefits of the sport. They pulled their daughter from the field, a decision Reed shared on this recent Huffington Post blog. Thriving checked with William Meehan, MD, director of Boston C...
Source: Thrive, Children's Hospital Boston - September 25, 2013 Category: Pediatrics Authors: Lisa Fratt Tags: All posts Concussions Orthopedics Sports & exercise athlete and concussion Bill Meehan soccer injuries Sports Concussion Clinic Source Type: news

Fifteen minute consultation: headache in children under 5 years of age
Headache occurring in children under the age of 5 years may cause a high level of anxiety in both parents and medical professionals. Crucial to a consultation about this problem will be to actively seek out clues to sinister pathologies, and investigate or reassure as appropriate. Making a positive diagnosis of a primary headache disorder where one exists is also important; however, in young children, headache does not always conform to well-established diagnostic criteria. This short guide provides a practical overview using the scenario of a new referral to the outpatient clinic.
Source: Archives of Disease in Childhood - Education and Practice - September 5, 2013 Category: Pediatrics Authors: McCrea, N., Howells, R. Tags: Headache (including migraine), Pain (neurology), Stroke, Child health Best practice Source Type: research

Idiopathic intracranial hypertension associated with iron-deficiency anaemia
A 12-year-old Nigerian girl presented to the Emergency Department with headache, dizziness and diplopia. She had a history of menorrhagia. Mild dyspnoea, tachycardia, left sixth cranial nerve palsy and papilloedema (figures 1 and 2) were noted. Body mass index was normal. Full blood count revealed haemoglobin of 4.8 g/dl. The red cells were hypochromic and mircocytic. A CT scan of the brain with venous contrast was normal. A lumbar puncture showed opening and closing pressures of 35 and 33.5 cm H2O, respectively. The diagnosis of idiopathic intracranial hypertension secondary to iron-deficiency anaemia was made. ...
Source: Archives of Disease in Childhood - May 9, 2013 Category: Pediatrics Authors: Forman, E. B., O'Byrne, J. J., Capra, L., McElnea, E., King, M. D. Tags: Miscellanea Source Type: research

Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study
Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them.
Source: Archives of Disease in Childhood - May 9, 2013 Category: Pediatrics Authors: Parkinson, K. N., Dickinson, H. O., Arnaud, C., Lyons, A., Colver, A., on behalf of the SPARCLE group, Beckung, Parkes, Fauconnier, Lyons, Michelsen, Marcelli, Arnaud, Thyen, Rapp Tags: Cerebral palsy, Open access, Headache (including migraine), Pain (neurology), Stroke, Child health, Physiotherapy, Physiotherapy Original article Source Type: research

An Adolescent With Pseudomigraine, Transient Headache, Neurological Deficits, and Lymphocytic Pleocytosis (HaNDL Syndrome): Case Report and Review of the Literature
We report a 16-year-old adolescent with 2 episodes of focal neurological deficits, pseudomigrainous headache, and lymphocytic pleocytosis due to the syndrome of transient headache and neurological deficits with cerebrospinal fluid (CSF) lymphocytosis (HaNDL), also known as pseudomigraine with CSF pleocytosis. Review of the literature identifies 13 additional cases of HaNDL in the pediatric population. These cases are reviewed and evidence for possible etiopathogenesis is discussed. This syndrome may mimic much more common conditions such as complicated or hemiplegic migraine, aseptic meningitis, meningoencephalitis, or str...
Source: Clinical Pediatrics - May 8, 2013 Category: Pediatrics Authors: Filina, T., Feja, K. N., Tolan, R. W. Tags: Articles Source Type: research

How to use... lupus anticoagulants
Introduction Lupus anticoagulants (LA) were first detected in patients with systemic lupus erythematosus (SLE) in 1952 by Conley and Hartmann.1 They identified patients in whom the activated partial thromboplastin time (APTT) was prolonged and which did not correct on the addition of normal plasma. Although Conley and Hartmann's original description was in association with a haemorrhagic disorder, subsequent reports from the 1960s highlighted patients with thrombotic events in the presence of LA.2 The term ‘lupus anticoagulant’ was introduced by Feinstein and Rapaport in 1972.3 It has, however, caused some conf...
Source: Archives of Disease in Childhood - Education and Practice - March 14, 2013 Category: Pediatrics Authors: Sen, E. S., Beresford, M. W., Avcin, T., Ramanan, A. V. Tags: Liver disease, Immunology (including allergy), Hepatitis and other GI infections, Travel medicine, Epilepsy and seizures, Headache (including migraine), Stroke, Pregnancy, Reproductive medicine, Rheumatology Interpretations Source Type: research

Expanding the Availability of Extracorporeal Cardiopulmonary Resuscitation
A healthy 14-year-old presented to an emergency department in Alaska, complaining of shortness of breath, chest pain, and 72 hours of malaise and headache. On admission, her blood pressure was 80/50 mm Hg, and she had cool extremities. Electrocardiography revealed wide-complex ventricular tachycardia. She underwent synchronized electrical cardioversion. Although she initially converted to sinus rhythm, she subsequently became pulseless, with electrocardiographic evidence of ventricular tachycardia. Despite cardiopulmonary resuscitation, she failed to achieve a perfusing rhythm. Cardiovascular surgery consultation was obtai...
Source: PEDIATRICS - March 1, 2013 Category: Pediatrics Authors: McMullan, D. M. Tags: Case Report Source Type: research

Chronic abdominal pain in children: help in spotting the organic diagnosis
Case 1 Aisha, a 9-year-old Asian girl, was referred to the paediatric outpatient clinic by her general practitioner (GP) with a 4 month history of episodic central abdominal pain. Each episode would last a few hours, affecting her about three times per week, usually during the day, but also occasionally at night. This was associated with infrequent, non-bilious vomits but did not appear to be related to diet. She was missing some days of school because of her symptoms. She said she liked school, did not like missing days away from her friends and denied any bullying. Between episodes she was a well and active girl. Sh...
Source: Archives of Disease in Childhood - Education and Practice - January 16, 2013 Category: Pediatrics Authors: Wright, N. J., Hammond, P. J., Curry, J. I. Tags: GI bleeding, Constipation, Diarrhoea, Editor's choice, Headache (including migraine), Pain (neurology), Stroke, Childhood nutrition, Diet, Child and adolescent psychiatry (paedatrics), Childhood nutrition (paediatrics), Child health, Neonatal health, Radi Source Type: research