Treatment of Pediatric Status Migrainosus

Author:

Legault Geneviève12,Eisman Harley34,Shevell Michael I.132

Affiliation:

1. Department of Neurology/Neurosurgery, McGill University, Montreal, Quebec, Canada

2. Division of Pediatric Neurology, Montreal Children’s Hospital, McGill University Health Center, Montreal, Quebec, Canada

3. Department of Pediatrics, McGill University, Montreal, Quebec, Canada

4. Emergency Medicine, Montreal Children’s Hospital, McGill University Health Center, Montreal, Quebec, Canada

Abstract

The impact of treatment given upon discharge on the “bounce back” rate was ascertained in children presenting at the emergency department for treatment of status migrainosus. All children ages 8 to 17 years old presenting to an emergency department in 2008 who were treated for status migrainosus and discharged home were included. Of the total of 187 patients, 21 patients (11.2%) bounced back. Treatment given was not associated with the bounce back rate. The only factors reaching significance were the presence of a migraine equivalent in 28.6% of patients who bounced back as compared with only 6.7% in patients without recurrence ( P = .006); brain imaging study in the emergency department (52.4% vs 16.9%, P = .001); and an arranged physician follow-up (66.6% vs 36.3%, P = .01). The results appear to suggest that no current treatment given to children presenting to the emergency department with status migrainosus seems to alter the immediate recurrence rate.

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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