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New practice parameters: What does the evidence say?

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Abstract

The American Academy of Neurology recently has published two practice parameters pertaining to children and adolescents with headache. The first focuses attention on the appropriate evaluation of the child with recurrent headache and reviews the data regarding laboratory investigation, electroencephalography (EEG), and neuroimaging. Routine laboratory investigation and EEG are not recommended. Neuroimaging is not recommended for children with recurring headaches and a normal neurologic examination unless there are historic features to suggest the recent onset of severe headache, change in the type of headache, or associated features that suggest neurologic dysfunction. If there are abnormalities on the neurologic examination (eg, focal findings, signs of increased intracranial pressure, significant alteration of consciousness) or the coexistence of seizures, then neuroimaging is recommended. The second parameter evaluates relevant data regarding the acute and preventive therapies for pediatric migraine.

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References and Recommended Reading

  1. Lewis D, Ashwal S, Dahl G, et al.: Evaluation of children and adolescents with recurrent headaches. Neurology 2002, 59:490–498. This practice parameter provides an evidence-based appraisal of the value and yield of neurodiagnostic studies in children and adolescents with recurring patterns of headache.

    Article  PubMed  CAS  Google Scholar 

  2. Lewis D, Ashwal S, Hershey A, et al.: Pharmacological treatment of migraine in children and adolescents. Neurology 2004, 63:2215–2224. This practice parameter provides an evidence-based evaluation of acute and preventative therapies for children and adolescents with recurring migraine headaches.

    PubMed  CAS  Google Scholar 

  3. Chen JH, Wang PJ, Young C, et al.: Etiological classification of chronic headache in children and their electroencephalographic features. Acta Paed Sin 1994, 35:397–406.

    CAS  Google Scholar 

  4. Quality Standards Subcommittee of the American Academy of Neurology: Practice parameter: the electroencephalogram in the evaluation of headache [summary statement]. Neurology 1995, 45:1411–1413. This practice parameter provides evidence-based guidelines regarding the role of EEG in adults with headache.

    Google Scholar 

  5. Panayiotopoulos CP: Vomiting as an ictal manifestation of epileptic seizures and syndromes. J Neurol Neurosurg Psych 1988, 51:1448–1451.

    Article  CAS  Google Scholar 

  6. Quality Standards Subcommittee of the American Academy of Neurology: Practice parameter: the utility of neuroimaging in the evaluation of headache in patients with normal neurologic examinations [summary statement]. Neurology 1994, 44:1353–1354. This practice parameter provides evidence-based guidelines regarding the role of brain imaging in adults with headache.

    Google Scholar 

  7. Silberstein SD: Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2000, 55:754–762. This comprehensive practice parameter provides evidence-based guidelines regarding the evaluation and management of adults with migraine headache.

    PubMed  CAS  Google Scholar 

  8. Frishberg BM, Rosenberg JH, Marchar DB, et al.: Evidencebased guidelines in the primary care setting: neuroimaging inpatients with nonacute headache. U.S. Headache Consortium. http://www.aan.com/. Accessed August 1, 2005.

  9. Lewis D, Wasieski W, Winner P: The placebo responder rate in pediatric migraine. Headache 2005, 45:232–239.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric Neurology, Children’s Hospital of the King’s Daughters, Eastern Virginia Medical School, 601 Children’s Lane, 23507, Norfolk, VA, USA

    Donald W. Lewis MD

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  1. Donald W. Lewis MD
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Lewis, D.W. New practice parameters: What does the evidence say?. Current Science Inc 9, 351–357 (2005). https://doi.org/10.1007/s11916-005-0012-9

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  • DOI: https://doi.org/10.1007/s11916-005-0012-9

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