and Acute Treatment in Pediatric Migraine小儿偏头痛的诊断和治疗急性ppt课件.ppt

* We now have offer inpatient headache treatment ran by the HA Center. Admission is based on criteria and must be approved by the HA Center attending if you may be considering using our service at CCHMC. * * * * * Aura occurs in 15-20% of patients The most common auras are visual and sensory (which we will discuss) The most common aura is the visual aura. Most patient charaterizize their symptoms ususally as seeing: flashing lights, Zig zags across their visual field, wavy lines or blurry vision  * The next most common aura involves numbness and tingling. This typically first involves the hand and then spreads over minutes to involve the arm, neck, face, lips, and tongue. Again this may last 15-60 minutes. Many other types of auras can occur but are far more rare. This includes speech disruption or slurred speech, extra movements, or difficulty walking with poor balance. Weakness on one side of the body can also happen which is called Hemiplegic Migraine… these.motor symptoms can sometimes last up to 72 hours.  * Some patients with aura can also have a persistent aura with their headaches as well. This is not very common. * * Keep in mind that these are the diagnostic criteria for migraine but that a good neurological examination and history taking is key to making the correct diagnosis. This lack of research results in lack of FDA approved medications for use in pediatric migraine * We ask our patients to draw how they feel when they get a headache which is a way to get them to articulate their associated symtpoms Espcially in children 5 years of age often have difficulty describing their headaches; making diagnosis harder. * * * * Secondary headache… meaning that the headache is an associated symptom of the underlying illness. * 15 days/month would be chronic TTH * * Treatment is D/C of pain medication and/or caffeine for at least 4-6 weeks * * * Headache may occur as an isolated symptom following trauma or injury or as one of a constellat