Migraine in Children and Adolescents

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Neurology & Neurodevelopmental Disorders".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 6848

Special Issue Editor


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Guest Editor
Juvenile Headache Center, Department of Woman’s and Child’s Health, University Hospital of Padua, 35128 Padua, Italy
Interests: neuroradiology; electrophysiology; pediatric neurology; pediatric neuroscience; headache disorders; primary headache disorders; secondary headache disorders; electroencephalography

Special Issue Information

Dear Colleagues,

Migraine in pediatric age represents a common condition with a very important impact on the quality of life of adolescent children and their families.

The child is not a small adult, and pediatric migraine has clinical peculiarities that will be addressed in a dedicated article. Rare forms of migraine on a genetic basis, such as hemiplegic migraines, will therefore be addressed too, emphasizing the peculiarities of these conditions during pediatric age.

Moreover, conditions that simulate migraine and go into differential diagnosis with it, which also include severe life-threatening conditions, will be discussed.

The comorbidity of migraine with several conditions that can be associated with it will therefore be addressed, particularly including obesity and psychiatric pathology.

Chronic migraine, which represents the most difficult and disabling form of this condition, will be discussed in a dedicated article.

Emphasis will also be placed on sleep disorders associated with migraine which also have an important impact on the quality of life.

The neurophysiological peculiarities of migraine during pediatric age will be explored in-depth by observing whether there are neurophysiological markers also in relation to pharmacological treatment. Additionally, neuroimaging findings will be discussed in depth.

State-of-the-art treatment will be updated in relation to the acute treatment and migraine profiling.

Complementary therapies, including acupuncture and in particular mindfulness, which represents a new non-pharmacological approach for the management of this condition, will also be covered. The series of articles will therefore conclude by highlighting the impact of migraine on the quality of life, school and learning in children affected by this condition.

Dr. Irene Toldo
Guest Editor

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Keywords

  • migraine
  • children and adolescents
  • comorbidity
  • diagnosis
  • treatment
  • quality of life

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Published Papers (1 paper)

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Research

12 pages, 1837 KiB  
Article
Patterns, Barriers, and Preferences of Treating Migraine Within the School Setting: A Survey Study of Students
by Andrew D. Hershey, Sharon Shmuely, Alit Stark-Inbar, Yara Asmar, Alon Ironi, Eric Strong and Marielle Kabbouche
Children 2024, 11(11), 1286; https://doi.org/10.3390/children11111286 - 25 Oct 2024
Viewed by 6519
Abstract
Background/Objectives: Migraine affects 10% of adolescents and children. Typical school protocols in the USA require pharmacological medications to be administered by school nurses, often resulting in treatment delays or omissions when migraine attacks occur during school hours. The Remote Electrical Neuromodulation (REN) wearable [...] Read more.
Background/Objectives: Migraine affects 10% of adolescents and children. Typical school protocols in the USA require pharmacological medications to be administered by school nurses, often resulting in treatment delays or omissions when migraine attacks occur during school hours. The Remote Electrical Neuromodulation (REN) wearable is an FDA-cleared smartphone-controlled device delivering acute and preventive treatment of migraine attacks in patients aged 8 and above, allowing safe, effective, discreet, and independent usage. Methods: This retrospective study (NCT06180577) evaluates treatment patterns, barriers, and preferences among school-age students. REN users < 18 years old were invited to complete an online survey. Participants signed an assent form, and their parents/legal guardians signed an informed consent form. Results: 332 patients aged 7–17 (15.5 ± 2.1) participated (80.4% female). After being prescribed the REN wearable, the percentage of students who treated their headaches at school increased from 78.3% to 89.8%. Most participants (65.4%) treated with either REN standalone (38.0%) or in combination with medications (27.4%). Common barriers to treatment included the need to leave class for the nurse’s office (64.2%), concerns about standing out (42.2%), and one barrier unique to REN–permission needed to use a smartphone in class (22.9%). The most common reasons given for preferring REN treatment at school are the ability to avoid going to the nurse’s office (42.5%) and to treat discreetly (39.2%). Conclusions: This study underscores the challenges of managing migraine at school while suggesting the importance of the REN wearable as a discreet and independently used first-line treatment for children and adolescents. Full article
(This article belongs to the Special Issue Migraine in Children and Adolescents)
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