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Published in: Current Neurology and Neuroscience Reports 2/2012

01-04-2012 | Headache (I Garza, Section Editor)

OnabotulinumtoxinA in Pediatric Chronic Daily Headache

Authors: Marielle Kabbouche, Hope O’Brien, Andrew D. Hershey

Published in: Current Neurology and Neuroscience Reports | Issue 2/2012

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Abstract

Chronic migraine occurs in about 3% of pediatric headaches. Many would be intractable to more than two preventive medications. OnabotulinumtoxinA has been approved by the US Food and Drug Administration for the use of chronic migraine in adults in 2010. Data on effectiveness and tolerability in the pediatric population are very limited. The study described in this article is a retrospective review of available data of all patients who received OnabotulinumtoxinA for chronic migraine in a large pediatric headache center from 2004 to 2010. Botox is recommended to any pediatric patient coming to the multidisciplinary clinic for chronic headache if they fail two or more preventive medications. This study showed a major change in the frequency of the headache with a statistical difference in the improvement of headache days per month. There was a 30-point drop in the pediatric disability scoring between first injection and follow-up injection with a change from severe disability to moderate disability.
Literature
1.
go back to reference Abu-Arefeh I, Russel G. Prevalence of headache and migraine in school children. BMJ (Clinical Research). 1994;309:765–9.CrossRef Abu-Arefeh I, Russel G. Prevalence of headache and migraine in school children. BMJ (Clinical Research). 1994;309:765–9.CrossRef
2.
go back to reference •• Dodick W, Turkel C, DeGryse R, Aurora S, Silberstein S, Lipton R, Diener H. OnabotulinumtoxinA for Treatment of Chronic Migraine: Headache: The Journal of Head and Face Pain Volume 50, Issue 6, pages 921–936, June 2010 This is a review of the PREEMPT studies: double-blind placebo-controlled studies on the efficacy of BoNT-A in adults. The FDA approval for chronic migraine in adults was based on these studies. CrossRef •• Dodick W, Turkel C, DeGryse R, Aurora S, Silberstein S, Lipton R, Diener H. OnabotulinumtoxinA for Treatment of Chronic Migraine: Headache: The Journal of Head and Face Pain Volume 50, Issue 6, pages 921–936, June 2010 This is a review of the PREEMPT studies: double-blind placebo-controlled studies on the efficacy of BoNT-A in adults. The FDA approval for chronic migraine in adults was based on these studies. CrossRef
3.
go back to reference Bigal ME, Lipton RB, Tepper SJ, Rapoport AM, Sheftell FD. Primary chronic daily headache and its subtypes in adolescents and adults. Neurology. 2004;63:843–7.PubMed Bigal ME, Lipton RB, Tepper SJ, Rapoport AM, Sheftell FD. Primary chronic daily headache and its subtypes in adolescents and adults. Neurology. 2004;63:843–7.PubMed
4.
go back to reference Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24 Suppl 1:9–160. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24 Suppl 1:9–160.
5.
go back to reference •• Ahmed K, Hall Oa K, Mack K, Garza I. Experience with Botulinum Toxin Type A in Medically Intractable Pediatric Chronic Daily Headache. Pediatric Neurology.2010:43 (5), 316-319. This is a rare article describing expert opinion and experience on the use of BoNT-A in the pediatric population; the review is limited to 10 patients and is not a placebo-controlled study but is the only full published manuscript in pediatric use of BoNT-A. All previous submissions have been abstracts to different scientific meetings. PubMedCrossRef •• Ahmed K, Hall Oa K, Mack K, Garza I. Experience with Botulinum Toxin Type A in Medically Intractable Pediatric Chronic Daily Headache. Pediatric Neurology.2010:43 (5), 316-319. This is a rare article describing expert opinion and experience on the use of BoNT-A in the pediatric population; the review is limited to 10 patients and is not a placebo-controlled study but is the only full published manuscript in pediatric use of BoNT-A. All previous submissions have been abstracts to different scientific meetings. PubMedCrossRef
6.
go back to reference • Hershey AD, Powers S, Vockell AL, LeCates S, Kabbouche MA, Maynard MK. PedMIDAS: development of a questionnaire to assess disability of migraines in children. Neurology. 2001;57:2034–2039 This article describes the factors behind the disability scoring and assessment and is a major tool that is frequently used in clinical practice as well as in research in the pediatric population. PubMed • Hershey AD, Powers S, Vockell AL, LeCates S, Kabbouche MA, Maynard MK. PedMIDAS: development of a questionnaire to assess disability of migraines in children. Neurology. 2001;57:2034–2039 This article describes the factors behind the disability scoring and assessment and is a major tool that is frequently used in clinical practice as well as in research in the pediatric population. PubMed
7.
go back to reference Castillo J, Muñoz P, Guitera V, Pascual J. Epidemiology of chronic daily headache in the general population. Headache. 1999;39:190–6.PubMedCrossRef Castillo J, Muñoz P, Guitera V, Pascual J. Epidemiology of chronic daily headache in the general population. Headache. 1999;39:190–6.PubMedCrossRef
8.
go back to reference Stang P, Osterhaus J. Impact of migraine in the United States: data from the National Health Interview Survey. Headache. 1993;33:29–35.PubMedCrossRef Stang P, Osterhaus J. Impact of migraine in the United States: data from the National Health Interview Survey. Headache. 1993;33:29–35.PubMedCrossRef
9.
go back to reference Olesen J, Bousser MG, Diener HC, et al. New appendix criteria open for a broader concept of chronic migraine. Cephalalgia. 2006;26:742–6.PubMedCrossRef Olesen J, Bousser MG, Diener HC, et al. New appendix criteria open for a broader concept of chronic migraine. Cephalalgia. 2006;26:742–6.PubMedCrossRef
Metadata
Title
OnabotulinumtoxinA in Pediatric Chronic Daily Headache
Authors
Marielle Kabbouche
Hope O’Brien
Andrew D. Hershey
Publication date
01-04-2012
Publisher
Current Science Inc.
Published in
Current Neurology and Neuroscience Reports / Issue 2/2012
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-012-0251-1

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