Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents
Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Lambru, Giorgio [verfasserIn] Matharu, Manjit [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Current Review of Pain - Current Medicine Group, 1998, 17(2013), 4 vom: 09. März |
|---|---|
| Übergeordnetes Werk: |
volume:17 ; year:2013 ; number:4 ; day:09 ; month:03 |
| Links: |
|---|
| DOI / URN: |
10.1007/s11916-013-0323-1 |
|---|
| Katalog-ID: |
SPR023009233 |
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| 520 | |a Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. | ||
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10.1007/s11916-013-0323-1 doi (DE-627)SPR023009233 (SPR)s11916-013-0323-1-e DE-627 ger DE-627 rakwb eng Lambru, Giorgio verfasserin aut Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. Childhood onset headache (dpeaa)DE-He213 Cluster headache (dpeaa)DE-He213 Paroxysmal hemicrania (dpeaa)DE-He213 SUNCT (dpeaa)DE-He213 Paediatric headache (dpeaa)DE-He213 Trigeminal autonomic cephalalgias (dpeaa)DE-He213 Matharu, Manjit verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 17(2013), 4 vom: 09. März (DE-627)SPR023001666 nnns volume:17 year:2013 number:4 day:09 month:03 https://dx.doi.org/10.1007/s11916-013-0323-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 17 2013 4 09 03 |
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10.1007/s11916-013-0323-1 doi (DE-627)SPR023009233 (SPR)s11916-013-0323-1-e DE-627 ger DE-627 rakwb eng Lambru, Giorgio verfasserin aut Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. Childhood onset headache (dpeaa)DE-He213 Cluster headache (dpeaa)DE-He213 Paroxysmal hemicrania (dpeaa)DE-He213 SUNCT (dpeaa)DE-He213 Paediatric headache (dpeaa)DE-He213 Trigeminal autonomic cephalalgias (dpeaa)DE-He213 Matharu, Manjit verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 17(2013), 4 vom: 09. März (DE-627)SPR023001666 nnns volume:17 year:2013 number:4 day:09 month:03 https://dx.doi.org/10.1007/s11916-013-0323-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 17 2013 4 09 03 |
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10.1007/s11916-013-0323-1 doi (DE-627)SPR023009233 (SPR)s11916-013-0323-1-e DE-627 ger DE-627 rakwb eng Lambru, Giorgio verfasserin aut Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. Childhood onset headache (dpeaa)DE-He213 Cluster headache (dpeaa)DE-He213 Paroxysmal hemicrania (dpeaa)DE-He213 SUNCT (dpeaa)DE-He213 Paediatric headache (dpeaa)DE-He213 Trigeminal autonomic cephalalgias (dpeaa)DE-He213 Matharu, Manjit verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 17(2013), 4 vom: 09. März (DE-627)SPR023001666 nnns volume:17 year:2013 number:4 day:09 month:03 https://dx.doi.org/10.1007/s11916-013-0323-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 17 2013 4 09 03 |
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10.1007/s11916-013-0323-1 doi (DE-627)SPR023009233 (SPR)s11916-013-0323-1-e DE-627 ger DE-627 rakwb eng Lambru, Giorgio verfasserin aut Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. Childhood onset headache (dpeaa)DE-He213 Cluster headache (dpeaa)DE-He213 Paroxysmal hemicrania (dpeaa)DE-He213 SUNCT (dpeaa)DE-He213 Paediatric headache (dpeaa)DE-He213 Trigeminal autonomic cephalalgias (dpeaa)DE-He213 Matharu, Manjit verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 17(2013), 4 vom: 09. März (DE-627)SPR023001666 nnns volume:17 year:2013 number:4 day:09 month:03 https://dx.doi.org/10.1007/s11916-013-0323-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 17 2013 4 09 03 |
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Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents |
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Lambru, Giorgio |
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Current Review of Pain |
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Current Review of Pain |
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eng |
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2013 |
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Lambru, Giorgio Matharu, Manjit |
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Lambru, Giorgio |
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10.1007/s11916-013-0323-1 |
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verfasserin |
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management of trigeminal autonomic cephalalgias in children and adolescents |
| title_auth |
Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents |
| abstract |
Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. |
| abstractGer |
Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. |
| abstract_unstemmed |
Abstract Primary headache disorders that are more frequently encountered in the paediatric population include migraine and tension-type headaches. The trigeminal autonomic cephalalgias (TACs), which includes cluster headache (CH), paroxysmal hemicrania (PH) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), are rarely reported in the paediatric population. The 1-year prevalence of CH seems to be 0.03 %. The clinical features of childhood and adolescence onset CH seem to be similar to those of adult onset. Cranial autonomic features and restlessness seem to less prominent in children than in adults. When restlessness is present, it often manifests as thrashing around in children and can distract attention from the headache, thereby contributing to a delay in diagnosis. The frequency of cluster periods seems to be lower in childhood. Similarly, the duration of the single cluster period seems to be shorter. The temporal pattern shows a trend towards a gradual increase of frequency and duration of symptoms in adult life. In terms of management of paediatric CH, oxygen has been used successfully in several paediatric CH patients, and given its good side-effect profile, it is considered the abortive agent of choice for paediatric CH. Verapamil is the preventative drug of choice in both episodic and chronic CH, though paediatric patients should be started on lower doses and titrated according to age. Paediatric-onset PH and SUNCT are very rarely reported. The clinical phenotype and response to treatment seem to resemble the adult-onset form. Paediatric-onset TACs are poorly recognized and there is often a delay of several months or years before the diagnosis is made. Awareness of typical clinical pictures of these excruciating headaches is essential to allow prompt initiation of the appropriate management. |
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Management of Trigeminal Autonomic Cephalalgias in Children and Adolescents |
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