Efficacy and tolerability of topiramate in pediatric migraine.

Abstract:

:About 5-10% of school-age children manifest migraine headaches. Treatment options for pediatric migraine are limited. Topiramate is approved for migraine prophylaxis in adults, but its use in children is limited. We retrospectively reviewed the records of 37 patients, i.e., 22 (60%) girls and 15 (40%) boys (mean age, 14 years; range, 7.3-20.5 years), diagnosed with migraine without aura in 30 (81%), with aura in four (11%), and abdominal, ophthalmoplegic, and catamenial in one each. The mean follow-up was 12 +/- 5 months standard deviation (S.D.). Clinical response was qualified as excellent, good, no change, or worse. Numbers of headaches per month were 15 +/- 7 S.D. prior to treatment and 3 +/- 3.4 S.D. (P < 0.001) after treatment. An excellent or good response (>50% migraine reduction) was attained in 28 patients (76%). Ten (27%) patients exhibited adverse effects. Patients taking >2 mg/kg/day were more likely to demonstrate side effects. The mean dose for patients without adverse effects was 1.27 +/- 0.7 mg/kg/day S.D. Those who reported adverse effects were taking a mean dose of 2.8 +/- 1.5 mg/kg/day S.D. This study demonstrated that topiramate is an effective, safe alternative for the prophylaxis of pediatric migraine. An acceptable risk/benefit maintenance dose was < or =2 mg/kg/day.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Cruz MJ,Valencia I,Legido A,Kothare SV,Khurana DS,Yum S,Hardison HH,Melvin JJ,Marks HG

doi

10.1016/j.pediatrneurol.2009.04.020

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

167-70

issue

3

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(09)00218-5

journal_volume

41

pub_type

杂志文章
  • Measles-vaccinated Israeli boy with subacute sclerosing panencephalitis.

    abstract::Subacute sclerosing panencephalitis is a rare neurologic disorder of childhood and adolescence. We describe a 16-year-old boy who manifested the disease despite proper vaccinations. He was hospitalized because of bedwetting, involuntary limb movements, abnormal speech, and balance disturbances. Immunoglobulin G antibo...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2011.01.011

    authors: Har-Even R,Aichenbaum S,Rabey JM,Livne A,Bistritzer T

    更新日期:2011-06-01 00:00:00

  • What Is Not in the Name? Dopa-Responsive Dystonia May Respond to More Than L-Dopa.

    abstract:BACKGROUND:Classic L-dopa-responsive dystonia is characterized by the triad of dystonia, diurnal fluctuation of signs, and dramatic response of signs to low-dose L-dopa therapy. Dopa-responsive dystonia succinctly summarizes the relevant clinical features. However, literal application of this label or consideration of ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2015.12.016

    authors: Friedman JR

    更新日期:2016-06-01 00:00:00

  • Mycoplasma pneumoniae infection, meningoencephalitis, and hemophagocytosis.

    abstract::Central nervous system manifestations are a common extrapulmonary complication of Mycoplasma pneumoniae infection, of which encephalitis is a well-recognized abnormality in children. In this report the first description of M. pneumoniae infection simultaneously complicated by meningoencephalitis and hemophagocytosis i...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(01)00274-0

    authors: Bruch LA,Jefferson RJ,Pike MG,Gould SJ,Squier W

    更新日期:2001-07-01 00:00:00

  • Neuromyelitis optica in an adolescent after bone marrow transplantation.

    abstract:BACKGROUND:Central nervous system complications of bone marrow transplant are a common occurrence and the differential diagnosis is quite broad, including opportunistic infections, medications toxicities, graft versus host disease, and other autoimmune processes. PATIENT DESCRIPTION:We summarize previously reported ca...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2014.07.007

    authors: Baumer FM,Kamihara J,Gorman MP

    更新日期:2015-01-01 00:00:00

  • Neurodevelopmental outcome of children with evidence of periventricular leukomalacia on late MRI.

    abstract::Fifteen children, 8 months of age or older, from a neonatal follow-up program underwent magnetic resonance imaging and neurologic, cognitive, and language evaluations. Magnetic resonance imaging findings in all children included increased white matter signal on T2-weighted images and ventricular enlargement adjacent t...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(90)90020-2

    authors: Feldman HM,Scher MS,Kemp SS

    更新日期:1990-09-01 00:00:00

  • Leukodystrophy presenting as acute-onset polyradiculoneuropathy.

    abstract:BACKGROUND:Sulfatides, the most abundant glycosphingolipids, are a major component of myelin. They are degraded by the combined action of sphingolipid activator protein and arylsulfatase A. Deficiency of either of these entities causes metachromatic leukodystrophy (MLD). On the basis of age of onset, this entity is div...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2014.01.028

    authors: Dubey R,Chakrabarty B,Gulati S,Sharma MC,Deopujari S,Baheti N,Santosh V,Pai G,Kabra M

    更新日期:2014-06-01 00:00:00

  • BH4-sensitive hyperphenylalaninemia: new case and review of literature.

    abstract::We report a patient with BH(4)-sensitive phenylketonuria. In neonatal screening, phenylalanine levels above 10 mg/dl were detected. In the tetrahydrobiopterin- (BH(4)) loading test, phenylalanine concentrations in serum fell significantly. Dihydropteridine reductase activity in blood, pterines, and neurotransmitters i...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/s0887-8994(02)00516-7

    authors: Lücke T,Illsinger S,Aulehla-Scholz C,Sander J,Das AM

    更新日期:2003-03-01 00:00:00

  • Transient dystonia of infancy, a result of intrauterine cocaine exposure?

    abstract::Intrauterine cocaine exposure has been associated with multiple transient and permanent neurologic sequelae. Although dystonic reactions have been reported in cocaine users, infantile dystonia following intrauterine exposure has not. We describe 4 infants testing positive for cocaine metabolite at birth with subsequen...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(95)00050-p

    authors: Beltran RS,Coker SB

    更新日期:1995-05-01 00:00:00

  • Effect of treatment of obstructive sleep apnea on seizure outcomes in children with epilepsy.

    abstract::A retrospective review of children with epilepsy and obstructive sleep apnea, treated surgically for their obstructive sleep apnea from January 2008-October 2010, was performed for age, sex, type of epilepsy, antiseizure medications, sleep-study data, and changes in seizure frequency. Twenty-seven subjects (median age...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2012.03.005

    authors: Segal E,Vendrame M,Gregas M,Loddenkemper T,Kothare SV

    更新日期:2012-06-01 00:00:00

  • Transient Isolated Lower Bulbar Palsy With Elevated Serum Anti-GM1 and Anti-GD1b Antibodies During Aripiprazole Treatment.

    abstract:BACKGROUND:Transient bulbar palsy without involvement of the facial or extraocular muscles is a rare presentation. It is considered a form of cranial polyneuropathy, a variant of Guillain-Barré syndrome that is related to the autoimmune mechanisms induced by preceding infections or vaccinations. However, drug-induced c...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2016.07.011

    authors: Han TH,Kim DY,Park DW,Moon JH

    更新日期:2017-01-01 00:00:00

  • Hallervorden-Spatz syndrome.

    abstract::The historic and current status of Hallervorden-Spatz syndrome diagnosis, classification, and therapies are discussed. A number of symptomatic therapies are available and should be used optimally for each patient. Although one gene locus has been identified, many patients do not manifest linkage to the NBIA1 locus (ne...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/s0887-8994(01)00253-3

    authors: Swaiman KF

    更新日期:2001-08-01 00:00:00

  • Sleep Disorders Associated With Mild Traumatic Brain Injury Using Sport Concussion Assessment Tool 3.

    abstract:BACKGROUND:Sleep problems affect 30% to 80% of patients with mild traumatic brain injury. We assessed the prevalence of sleep disorders after mild traumatic brain injury and its correlation with other symptoms. METHODS AND MATERIALS:Individuals with mild traumatic brain injury were assessed at the New York University ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2015.12.019

    authors: Tkachenko N,Singh K,Hasanaj L,Serrano L,Kothare SV

    更新日期:2016-04-01 00:00:00

  • Cyclic Vomiting Syndrome in Infants and Children: A Clinical Follow-Up Study.

    abstract:BACKGROUND:Cyclic vomiting syndrome is characterized by recurrent vomiting that is associated with increased adrenocorticotropic hormone and antidiuretic hormone levels during cyclic vomiting syndrome attacks. However, both prognosis and treatment remain unclear. We therefore evaluated the clinical features, prognosis,...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2016.01.001

    authors: Hikita T,Kodama H,Ogita K,Kaneko S,Nakamoto N,Mimaki M

    更新日期:2016-04-01 00:00:00

  • Infant Motor Delay and Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations in Japan.

    abstract:BACKGROUND:Abnormalities of early motor development have been reported in autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual developmental disorder, developmental coordination disorder, and other Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations (ESSENCE). Howe...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2015.09.008

    authors: Hatakenaka Y,Kotani H,Yasumitsu-Lovell K,Suzuki K,Fernell E,Gillberg C

    更新日期:2016-01-01 00:00:00

  • D-bifunctional protein deficiency: a cause of neonatal onset seizures and hypotonia.

    abstract:BACKGROUND:Peroxisomal disorders are classified in two major groups: (1) peroxisome biogenesis disorders and (2) single peroxisomal enzyme/transporter deficiencies. D-bifunctional protein deficiency (OMIM #261515) is included in this last group of rare diseases and leads to an impaired peroxisomal beta-oxidation. D-bif...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2015.01.007

    authors: Nascimento J,Mota C,Lacerda L,Pacheco S,Chorão R,Martins E,Garrido C

    更新日期:2015-05-01 00:00:00

  • Neurophysiological assessment of brain function and maturation. II. A measure of brain dysmaturity in healthy preterm neonates.

    abstract::Severe brain disorders can be expressed as markedly abnormal encephalopathic EEG patterns in neonates who are usually neurologically depressed, with abnormal levels of reactivity and tone. This symptomatic group is now a minority of medically ill neonates as a result of more vigorous fetal and neonatal resuscitative e...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/s0887-8994(96)00009-4

    authors: Scher MS

    更新日期:1997-05-01 00:00:00

  • The Evaluation and Management of Pediatric Syncope.

    abstract::Syncope is a common problem in children and adolescents. It is typically caused by benign neurally mediated hypotension, but other, more concerning, etiologies of syncope must be considered. In most instances, the underlying cause of syncope in the pediatric patient can be determined by obtaining a thorough history an...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2015.10.018

    authors: Anderson JB,Willis M,Lancaster H,Leonard K,Thomas C

    更新日期:2016-02-01 00:00:00

  • Safety and Efficacy of Delayed-Release Dimethyl Fumarate in Pediatric Patients With Relapsing Multiple Sclerosis (FOCUS).

    abstract:BACKGROUND:No therapies have been formally approved by the Food and Drug Administration for use in pediatric multiple sclerosis, a rare disease. OBJECTIVE:We evaluated the safety, efficacy, and pharmacokinetics of dimethyl fumarate in pediatric patients with multiple sclerosis. METHODS:FOCUS, a phase 2, multicenter s...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.pediatrneurol.2018.03.007

    authors: Alroughani R,Das R,Penner N,Pultz J,Taylor C,Eraly S

    更新日期:2018-06-01 00:00:00

  • Sturge-Weber syndrome: a review.

    abstract::Sturge-Weber syndrome is a rare disorder that occurs with a frequency of approximately 1 per 50,000. The disease is characterized by an intracranial vascular anomaly, leptomeningeal angiomatosis, most often involving the occipital and posterior parietal lobes. Facial cutaneous vascular malformations, seizures, and gla...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2003.12.015

    authors: Thomas-Sohl KA,Vaslow DF,Maria BL

    更新日期:2004-05-01 00:00:00

  • Primary Sjögrens syndrome presenting as neuromyelitis optica.

    abstract::This report presents a patient with Devics neuromyelitis optica associated with primary Sjögrens syndrome. Her first attack was right-sided optic neuritis at age 10 years. Attacks involving both optic nerves and medulla spinalis were recorded during the ensuing years. The diagnosis of Sjögrens syndrome could not be ma...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2006.07.008

    authors: Gökçay F,Celebisoy N,Gökçay A,Kabasakal Y,Oder G

    更新日期:2007-01-01 00:00:00

  • Post-traumatic vertigo in children: a diagnostic approach.

    abstract::The relatively high incidence of persistent post-traumatic headache and vertigo in children and adolescents presents a diagnostic and therapeutic challenge. It is often difficult to differentiate between functional complaints generated by psychological trauma or compensation-seeking and symptoms reflecting an organic ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(86)90058-5

    authors: Eviatar L,Bergtraum M,Randel RM

    更新日期:1986-03-01 00:00:00

  • Abnormal regional CBF response in left hemisphere of dysphasic children during a language task.

    abstract::This study used xenon 133 inhalation and single-photon computed tomography to measure regional cerebral blood flow during a quiet resting condition, a simple auditory task, and an auditory phonemic discrimination task in 3 age-matched groups of children suffering from developmental language disabilities: expressive dy...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(94)90062-0

    authors: Tzourio N,Heim A,Zilbovicius M,Gerard C,Mazoyer BM

    更新日期:1994-02-01 00:00:00

  • Intravenous immunoglobulin therapy in acute disseminated encephalomyelitis.

    abstract::Three children ranging in age from 2 to 5 years with acute disseminated encephalomyelitis (ADEM) were successfully treated with high-dose intravenous immunoglobulin (IVIG). Their symptoms were somnolence, fever, headache, vomiting, and resting tremor. In all of these patients, it was difficult to distinguish the condi...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(99)00042-9

    authors: Nishikawa M,Ichiyama T,Hayashi T,Ouchi K,Furukawa S

    更新日期:1999-08-01 00:00:00

  • Rapid eye movement latency in children and adolescents.

    abstract::Rapid eye movement sleep distribution changes during development, but little is known about rapid eye movement latency variation in childhood by age, sex, or pathologic sleep states. We hypothesized that: (1) rapid eye movement latency would differ in normal children by age, with a younger cohort (1-10 years) demonstr...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2008.06.011

    authors: Mason TB 2nd,Teoh L,Calabro K,Traylor J,Karamessinis L,Schultz B,Samuel J,Gallagher PR,Marcus CL

    更新日期:2008-09-01 00:00:00

  • Effect of transdermal methylphenidate wear times on sleep in children with attention deficit hyperactivity disorder.

    abstract::Sleep disturbances are common among children and adolescents with attention deficit hyperactivity disorder. This study sought to evaluate the effects of individualizing wear times of the methylphenidate transdermal system on sleep parameters. In this open-label, randomized trial, 26 children with attention deficit hyp...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pediatrneurol.2011.09.003

    authors: Ashkenasi A

    更新日期:2011-12-01 00:00:00

  • Headache Hygiene in Pediatrics: Brushing Up on the Basics.

    abstract::Headache hygiene refers to self-management behaviors and practices aimed at reducing headache-related disability and improving self-efficacy. Although self-management interventions have an established place in the management of a wide range of chronic conditions, there is still not a standardized approach to this in p...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2019.10.002

    authors: Barmherzig R,Lagman-Bartolome AM,Marlowe S,Kohut SA,Gunn G,Olivieri H,Mulligan J,Grundy-Bozinis K,Gladstone J,Lay C,MacGregor D

    更新日期:2020-02-01 00:00:00

  • Ring chromosome 20: a pediatric potassium channelopathy responsive to treatment with ezogabine.

    abstract:BACKGROUND:Ring chromosome 20 is a genetic disorder characterized by intractable epilepsy, behavioral problems, and cognitive deficit. The potassium channel-coding gene KCNQ2 is localized at the locus q13.3 on the chromosome 20, the most common site where the ring occurs. Ezogabine is the first potassium channel opener...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2013.06.005

    authors: Walleigh DJ,Legido A,Valencia I

    更新日期:2013-11-01 00:00:00

  • Rectal diazepam gel in the home management of seizures in children.

    abstract::This study assessed the utility of rectal diazepam gel in the home management of prolonged or repetitive seizures in children. Thirty-eight children being prescribed rectal diazepam gel by their clinician were prospectively recruited. Seizures, rectal diazepam use, emergency department visits, and quality of life data...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.03.005

    authors: O'Dell C,Shinnar S,Ballaban-Gil KR,Hornick M,Sigalova M,Kang H,Moshé SL

    更新日期:2005-09-01 00:00:00

  • Dandy-Walker cyst associated with occipital meningocele.

    abstract::Dandy-Walker cyst associated with occipital meningocele is very rare. Only 12 patients have been reported. We report a female infant with Dandy-Walker cyst and occipital meningocele whose diagnosis was suspected antenatally by in utero ultrasonography. At birth, head circumference was normal for 37 weeks gestation. Sh...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(89)90071-4

    authors: Suzuki Y,Mimaki T,Tagawa T,Seino Y,Ohmichi M,Sugita N,Morimoto K,Yoshimine T

    更新日期:1989-05-01 00:00:00

  • Electroconvulsive therapy for catatonia in a boy with hydrocephalus and an arachnoid cyst.

    abstract::We report on the successful use of electroconvulsive therapy in a 13-year-old boy with congenital hydrocephalus, a history of multiple shunt revisions, and a stable prepontine arachnoid cyst, who experienced profound catatonic deterioration. After initial shunt placement at age 20 months, the patient had followed norm...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2010.03.011

    authors: Wachtel LE,Baranano K,Reti IM

    更新日期:2010-07-01 00:00:00