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- W1545188744 abstract "OBJECTIVE: to review the cleveland clinic experience with idiopathic stabbing headache ( ish ) in children and adolescents. to review its presentation evaluation, course and treatment options. . BACKGROUND: data concerning ish in children is sparse. information regarding the evaluation is inconsistent. the use of indomethacin in these patiets is controversial. data concerning other therapeutic options is rarely discussed. DESIGN/METHODS: a search was conducted for all patiets seen at the cleveland clinic <age 21 for the years 2007-2012. with the diagnoses of ish, jabs and jolts ,,and stabs and jabs.42 patients were identified who met our criteria. RESULTS: female/male ratio was 2:1.the pain lasted less than 5 seconds in 51[percnt],age of onset was 12 yrs.males tended to present at an earlier age.pain was located outside the trigeminal region in 20[percnt].42[percnt] had other forms of ha in addition tio the ihs.50[percnt] were strictly unilateral,30[percnt] were bilateral and 20[percnt] alternated. familial transmission was not noted. many spontaneously remitted in weeks to months. some patients responded to indomethacin, others could not tolerate its side effects.more recently some have responded to melatonin. CONCLUSIONS: ihs occurs not infrequently in pediatric patients. an underlying etiology is almost never found. altho indomethacin has been considered the drug of choice, we feel that a trial of melatonin should be the first choice to avoid the side effects seen in indomethacin Study Supported by: weller research fund Disclosure: Dr. mandel has nothing to disclose." @default.
- W1545188744 created "2016-06-24" @default.
- W1545188744 creator A5012440104 @default.
- W1545188744 date "2015-04-06" @default.
- W1545188744 modified "2023-09-28" @default.
- W1545188744 title "Idiopathic Stabbing Headache In Children And Adolescents (P3.037)" @default.
- W1545188744 hasPublicationYear "2015" @default.
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