pediatric neurology by DR SAMED ALSALMI

By DR SAMED ALSALMI

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Other triptans are not yet licensed in children. If headaches are frequent, usually greater than one per week, prophylactic agents can be tried. These include: pizotifen (5-HT antagonist) - but can cause weight gain and sleepiness  beta-blockers - propranolol, but contraindicated in asthma.  Migraine This periodic disorder is characterised by paroxysmal headache, often unilateral, and is characteristically throbbing. It is often accompanied by unpleasant gastrointestinal disturbance such as nausea, vomiting and abdominal pain and by visual disturbance.

Benign hereditary chorea c. Neuroacanthocytosis d. Other CNS ―degenerations‖: olivopontocerebellar atrophy, Azorean disease, ataxia-telangiectasia, tuberous sclerosis, Hallervorden-Spatz, dentato-rubral-pallido-lysian atrophy (DRPLA), familial calcification of basal ganglia, others e. Neurometabolic disorders: Wilson's disease, Lesch-Nyhan disease, lysosomal storage disorders, amino acid disorders, Leigh's disease, porphyria 3. Drug-induced choreas: neuroleptics (tardive dyskinesia), antiparkinsonian drugs, amphetamines, tricyclics, oral contraceptives, anticonvulsants, anticholinergics, others 4.

Children and parents should be informed that recurrent headaches are common. There are likely to be good and bad patches over months or years but they cause no long-term harm. Written information for the child and parents to take home is helpful. Children should be advised on how to live with and control the headaches, rather than allowing the headaches to dominate their lives. g. bullying,  anxiety over exams or illness in friends or family relaxation and other self-regulating techniques  analgesia - paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs),  which should be taken as early as possible if the severity of the headache is increasing anti-emetics - ··prochlorperazine·· and metoclopramide  serotonin (5-HT1) agonist, sumatriptan.

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