Prophylaxis with melatonin for primary stabbing headache in pediatrics: a case report
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| Format: | Artículo científico |
| Sprache: | en |
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Universidad del Valle
2018
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| _version_ | 1876442272506052608 |
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| author | Mauricio Bermúdez Salazar |
| author_facet | Mauricio Bermúdez Salazar |
| contents | Prophylaxis with melatonin for primary stabbing headache in pediatrics: a case report Mauricio Bermúdez Salazar Christian Andrés Rojas Cerón Ronald Santiago Arana Muñoz Medicina Ice Children Melatonin Case report pick headache Introduction: Primary stabbing headache (or “ice pick headache”) is an alteration characterized by brief jabs (short stabs of pain, lasting ~3 seconds), which appear spontaneously, irregularly, and affecting unilaterally or bilaterally. Indomethacin has traditionally been used as the main therapeutic option. However, this drug is ineffective in a considerable percentage of patients and can generate multiple adverse effects that occur at therapeutic doses.Clinical case: A 7-year-old male patient with primary stabbing headache of mild to moderate intensity, lasting 3 to 4 seconds, without relevant history, with normal neurodevelopment, neurological examination and neuroimaging; no triggers were identified. It was started therapeutic trial with Coenzyme Q10; however, no improvement in the symptoms was identified.Treatment and outcomes: A therapeutic management was carried out with Melatonin, which led to complete remission of the symptoms; without adverse effects in the posterior follow-up months.Clinical and scientific relevance: There is little information regarding effective and safe treatments for primary stabbing headache in children. The present case identifies Melatonin as an innovative, effective and safe therapeutic alternative in the treatment of primary stabbing headache in children. This is a significant advance in the understanding of primary stabbing headache in the pediatric population.Conclusion: Melatonin may be an effective and safe therapeutic option for the treatment of primary stabbing headache in pediatric patients. It is necessary to deepen its research, in order to establish its use in a clinical practice guide. 2018 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28357492009 https://www.redalyc.org/journal/283/28357492009/ https://www.redalyc.org/journal/283/28357492009/html/ https://www.redalyc.org/journal/283/28357492009/28357492009.epub https://www.redalyc.org/journal/283/28357492009/movil 10.25100/cm.v49i2.3857 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.49 |
| format | Artículo científico |
| id | redalyc_28357492009 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Universidad del Valle |
| spellingShingle | Prophylaxis with melatonin for primary stabbing headache in pediatrics: a case report Mauricio Bermúdez Salazar Medicina Ice Children Melatonin Case report pick headache Prophylaxis with melatonin for primary stabbing headache in pediatrics: a case report Mauricio Bermúdez Salazar Christian Andrés Rojas Cerón Ronald Santiago Arana Muñoz Medicina Ice Children Melatonin Case report pick headache Introduction: Primary stabbing headache (or “ice pick headache”) is an alteration characterized by brief jabs (short stabs of pain, lasting ~3 seconds), which appear spontaneously, irregularly, and affecting unilaterally or bilaterally. Indomethacin has traditionally been used as the main therapeutic option. However, this drug is ineffective in a considerable percentage of patients and can generate multiple adverse effects that occur at therapeutic doses.Clinical case: A 7-year-old male patient with primary stabbing headache of mild to moderate intensity, lasting 3 to 4 seconds, without relevant history, with normal neurodevelopment, neurological examination and neuroimaging; no triggers were identified. It was started therapeutic trial with Coenzyme Q10; however, no improvement in the symptoms was identified.Treatment and outcomes: A therapeutic management was carried out with Melatonin, which led to complete remission of the symptoms; without adverse effects in the posterior follow-up months.Clinical and scientific relevance: There is little information regarding effective and safe treatments for primary stabbing headache in children. The present case identifies Melatonin as an innovative, effective and safe therapeutic alternative in the treatment of primary stabbing headache in children. This is a significant advance in the understanding of primary stabbing headache in the pediatric population.Conclusion: Melatonin may be an effective and safe therapeutic option for the treatment of primary stabbing headache in pediatric patients. It is necessary to deepen its research, in order to establish its use in a clinical practice guide. 2018 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28357492009 https://www.redalyc.org/journal/283/28357492009/ https://www.redalyc.org/journal/283/28357492009/html/ https://www.redalyc.org/journal/283/28357492009/28357492009.epub https://www.redalyc.org/journal/283/28357492009/movil 10.25100/cm.v49i2.3857 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.49 |
| title | Prophylaxis with melatonin for primary stabbing headache in pediatrics: a case report |
| topic | Medicina Ice Children Melatonin Case report pick headache |
| url | https://www.redalyc.org/articulo.oa?id=28357492009 https://www.redalyc.org/journal/283/28357492009/ https://www.redalyc.org/journal/283/28357492009/html/ https://www.redalyc.org/journal/283/28357492009/28357492009.epub https://www.redalyc.org/journal/283/28357492009/movil |