Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine

Pediatric migraine remains still a challenge for the headache specialists as concerns both diagnostic and therapeutic aspects. The less ability of children to describe the exact features of their migraines and the lack of reliable biomarker for migraine contribute to complicate the diagnostic proces...

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Main Authors: Filippo Brighina, Vincenzo Raieli, Luca Maria Messina, Giuseppe Santangelo, Domenico Puma, Flavia Drago, Lucia Rocchitelli, Francesca Vanadia, Giuseppe Giglia, Salvatore Mangano
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-04-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2019.00364/full
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author Filippo Brighina
Vincenzo Raieli
Luca Maria Messina
Giuseppe Santangelo
Domenico Puma
Flavia Drago
Lucia Rocchitelli
Francesca Vanadia
Giuseppe Giglia
Salvatore Mangano
author_facet Filippo Brighina
Vincenzo Raieli
Luca Maria Messina
Giuseppe Santangelo
Domenico Puma
Flavia Drago
Lucia Rocchitelli
Francesca Vanadia
Giuseppe Giglia
Salvatore Mangano
author_sort Filippo Brighina
collection DOAJ
description Pediatric migraine remains still a challenge for the headache specialists as concerns both diagnostic and therapeutic aspects. The less ability of children to describe the exact features of their migraines and the lack of reliable biomarker for migraine contribute to complicate the diagnostic process. Therefore, there's need for new effective tools for supporting diagnostic and therapeutic approach in children with migraine. Recently, promising results have been obtained in adult headache by means of application of neurostimulation techniques both for investigating pathophysiological mechanisms and also for therapeutical applications. Non-invasive brain stimulation (NIBS) techniques like transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) indeed proved to be generally safe and showing also some evidence of efficacy particularly for the symptomatic treatment. On such basis, in the last years increasing interest is rising in scientific pediatric community to evaluate the potential of such approaches for treatment pediatric headaches, particularly in migraine, even if the evidence provided is still very poor. Here we present a perspective for application of TMS and tDCS technique in children migraine principally based on evidence coming by studies in adults.
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spelling doaj.art-87fbf8d1829e4459a9ad1c180ca4dcb02022-12-22T02:01:28ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-04-011010.3389/fneur.2019.00364446058Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult MigraineFilippo Brighina0Vincenzo Raieli1Luca Maria Messina2Giuseppe Santangelo3Domenico Puma4Flavia Drago5Lucia Rocchitelli6Francesca Vanadia7Giuseppe Giglia8Salvatore Mangano9Dipartimento di Biomedicina, Neuroscienze and Diagnostica Avanzata (BiND), University of Palermo, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyARNAS Ospedali Civico Di Cristina Benfratelli, Palermo, ItalyDipartimento di Biomedicina, Neuroscienze and Diagnostica Avanzata (BiND), University of Palermo, Palermo, ItalyDipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D'Alessandro”, University of Palermo, Palermo, ItalyPediatric migraine remains still a challenge for the headache specialists as concerns both diagnostic and therapeutic aspects. The less ability of children to describe the exact features of their migraines and the lack of reliable biomarker for migraine contribute to complicate the diagnostic process. Therefore, there's need for new effective tools for supporting diagnostic and therapeutic approach in children with migraine. Recently, promising results have been obtained in adult headache by means of application of neurostimulation techniques both for investigating pathophysiological mechanisms and also for therapeutical applications. Non-invasive brain stimulation (NIBS) techniques like transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) indeed proved to be generally safe and showing also some evidence of efficacy particularly for the symptomatic treatment. On such basis, in the last years increasing interest is rising in scientific pediatric community to evaluate the potential of such approaches for treatment pediatric headaches, particularly in migraine, even if the evidence provided is still very poor. Here we present a perspective for application of TMS and tDCS technique in children migraine principally based on evidence coming by studies in adults.https://www.frontiersin.org/article/10.3389/fneur.2019.00364/fulltranscranial magnetic stimulationtranscranial direct current stimulationnon-invasive brain stimulationpediatric migrainetherapeutics
spellingShingle Filippo Brighina
Vincenzo Raieli
Luca Maria Messina
Giuseppe Santangelo
Domenico Puma
Flavia Drago
Lucia Rocchitelli
Francesca Vanadia
Giuseppe Giglia
Salvatore Mangano
Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine
Frontiers in Neurology
transcranial magnetic stimulation
transcranial direct current stimulation
non-invasive brain stimulation
pediatric migraine
therapeutics
title Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine
title_full Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine
title_fullStr Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine
title_full_unstemmed Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine
title_short Non-invasive Brain Stimulation in Pediatric Migraine: A Perspective From Evidence in Adult Migraine
title_sort non invasive brain stimulation in pediatric migraine a perspective from evidence in adult migraine
topic transcranial magnetic stimulation
transcranial direct current stimulation
non-invasive brain stimulation
pediatric migraine
therapeutics
url https://www.frontiersin.org/article/10.3389/fneur.2019.00364/full
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