Outcome of a Multidisciplinary Approach to Pediatric Migraine at 1, 2, and 5 years

Kabbouche, Marielle A.; Powers, Scott W.; Vockell, Anna-Liisa B.; LeCates, Susan L.; Ellinor, Priscilla L.; Segers, A M; Manning, Paula; Burdine, Danny; Hershey, Andrew D.

doi:10.1111/j.1526-4610.2005.00261.x

Cited by 52 publications

(55 citation statements)

References 12 publications

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“…This includes pain (Shapiro, Cohen, Covelman, Howe, & Scott, 1991), headaches (Kabbouche et al, 2005), feeding and swallowing disorders (Miller et al, 2001;S. Williams, Witherspoon, Kavsak, Patterson, & McBlain, 2006), craniofacial anomalies (Robin et al, 2006), failure to thrive (Hobbs & Hanks, 1996), Fragile X syndrome (Alanay et al, 2007), atopic dermatitis (Lebovidge et al, 2007), and obesity (Dao, Frelut, Peres, Bourgeois, & Navarro, 2004).…”

mentioning

confidence: 99%

The Need for Interdisciplinary Pediatric Sleep Clinics

Meltzer

Moore

Mindell

2008

Behavioral Sleep Medicine

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The purpose of this study was to describe the function and structure of an interdisciplinary outpatient pediatric sleep clinic. In addition, the frequency of individual and comorbid sleep diagnoses, the prevalence of comorbid medical or psychiatric disorders, and the types of treatment recommendations and referrals provided to patients at the end of their clinic visits was examined. Over a 4-month period, 265 consecutive patients were evaluated in the sleep clinic by trainees, nurses, and attendings in pulmonary medicine, neurology, and psychology. Obstructive sleep apnea was the most common diagnosis, followed by behavioral insomnia of childhood. Over half of the patients had a comorbid medical diagnosis, and 31% had a comorbid psychiatric diagnosis. Polysomnography was the most common recommendation, with 38% of patients receiving at least one behavioral recommendation. The results of this descriptive study support the need for an interdisciplinary approach to pediatric sleep medicine, providing broad training to trainees of all disciplines while improving the clinical care for children with sleep problems.

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mentioning

confidence: 99%

The Need for Interdisciplinary Pediatric Sleep Clinics

Meltzer

Moore

Mindell

2008

Behavioral Sleep Medicine

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“…β-Blockers and antidepressants are also of benefit. There is very good evidence that psychologic treatments, principally relaxation and cognitive-behavioral therapy, are effective in reducing the severity and frequency of chronic headache in children and adolescents [27,28].…”

Section: Evaluation and Managementmentioning

confidence: 99%

Pediatric post-traumatic headache

Wilson

Krolczyk²

2006

Current Science Inc

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Post-traumatic headache after craniocerebral trauma is not an uncommon occurrence in children and adolescents. It can occur after mild, moderate, or severe injury. The headache may have features of tension-type headache, migraine, or probable migraine and is rarely seen in isolation. It is often part of a syndrome encompassing a variety of somatic and psychobehavioral symptoms. In time, the headache and accompanying symptoms gradually resolve over a period of 8 to 12 weeks. However, sometimes it may become chronic, requiring a multidimensional management approach including pharmacologic intervention, physical rehabilitation, and cognitive-behavioral therapy as used in the adult population.

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“…Recently, several clinical and epidemiological studies have been published on the long-term course of primary headaches in children and adolescents [18–27]. …”

Section: Natural History Of Headachementioning

confidence: 99%

Overview of diagnosis and management of paediatric headache. Part I: diagnosis

et al. 2011

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Headache is the most common somatic complaint in children and adolescents. The evaluation should include detailed history of children and adolescents completed by detailed general and neurological examinations. Moreover, the possible role of psychological factors, life events and excessively stressful lifestyle in influencing recurrent headache need to be checked. The choice of laboratory tests rests on the differential diagnosis suggested by the history, the character and temporal pattern of the headache, and the physical and neurological examinations. Subjects who have any signs or symptoms of focal/progressive neurological disturbances should be investigated by neuroimaging techniques. The electroencephalogram and other neurophysiological examinations are of limited value in the routine evaluation of headaches. In a primary headache disorder, headache itself is the illness and headache is not attributed to any other disorder (e.g. migraine, tension-type headache, cluster headache and other trigeminal autonomic cephalgias). In secondary headache disorders, headache is the symptom of identifiable structural, metabolic or other abnormality. Red flags include the first or worst headache ever in the life, recent headache onset, increasing severity or frequency, occipital location, awakening from sleep because of headache, headache occurring exclusively in the morning associated with severe vomiting and headache associated with straining. Thus, the differential diagnosis between primary and secondary headaches rests mainly on clinical criteria. A thorough evaluation of headache in children and adolescents is necessary to make the correct diagnosis and initiate treatment, bearing in mind that children with headache are more likely to experience psychosocial adversity and to grow up with an excess of both headache and other physical and psychiatric symptoms and this creates an important healthcare problem for their future life.

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Outcome of a Multidisciplinary Approach to Pediatric Migraine at 1, 2, and 5 years

Cited by 52 publications

References 12 publications

The Need for Interdisciplinary Pediatric Sleep Clinics

The Need for Interdisciplinary Pediatric Sleep Clinics

Pediatric post-traumatic headache

Overview of diagnosis and management of paediatric headache. Part I: diagnosis

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