Publications by authors named "A L Hershey"
Migraine affects 10% of adolescents and children. Typical school protocols in the USA require pharmacological medications to be administered by school nurses, often resulting in treatment delays or omissions when migraine attacks occur during school hours. The Remote Electrical Neuromodulation (REN) wearable is an FDA-cleared smartphone-controlled device delivering acute and preventive treatment of migraine attacks in patients aged 8 and above, allowing safe, effective, discreet, and independent usage.
View Article and Find Full Text PDFObjective: To explore the relationships among anxiety, depression, and headache-related disability in a pediatric clinic-based retrospective cross-sectional study.
Background: Anxiety and depression are commonly considered comorbidities of headache disorders and are frequently seen in children and adolescents. These conditions can contribute to disability and may have a cumulative impact.
Article Synopsis
- The study aimed to validate the relationships between various migraine-associated symptoms using a multicenter approach involving youth aged 6-17 from pediatric headache centers.
- It found that many participants reported multiple symptoms related to migraines, with a clear separation between symptoms listed in the official migraine diagnostic criteria and other symptoms like lightheadedness.
- Finally, researchers noted that the presence of more symptoms was linked to increased headache severity and disability, indicating that a wider range of symptoms affects overall migraine experiences.
Article Synopsis
- The study used Cluster Analysis of Migraine-associated Symptoms (CAMS) to evaluate the diagnostic criteria for migraines currently set by the International Classification of Headache Disorders-Third Edition (ICHD-3).
- It highlighted that while the ICHD-3 requires specific symptoms (like photophobia or nausea) for a migraine diagnosis, many young patients report a range of other significant symptoms related to their migraine burden.
- The analysis revealed that adjusting the criteria can significantly change the diagnosis outcome, as many youths previously considered to have "probable migraine" could be reclassified as having migraines when including a broader spectrum of symptoms.