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CornerStone Vol. 29, No. 1, Winter/Spring 2019
Front page...

A "Miracle Baby"
Groundbreaking Study Shows Promise for Correcting Common Misdiagnoses of Hyponatremia
NYU Winthrop's Neonatal Breakthroughs
Young Mother Finds Hope & Overcomes Breast Cancer Diagnosis Thanks to a Multidisciplinary Team Approach
Nutrition Services for Cancer Patients are Expanded
Does Acid Reflux in Infants Lead to Early-Onset Asthma?
Allergies and Asthma Are Nothing to Sneeze At!
Childhood Migraines – More Common Than You Think
Nationally Recognized Programs and Services
Flavored E-Cigs: Teen Gateway to a Lifetime of Nicotine Addiction
Gratitude Abounds at Second Annual Breakfast of Champions
Helping Patients Stay Steady on Their Feet
Annual Gala Raises More than $890,000
Expanding the Footprint for Stellar Patient Care
Where Medical Milestones Are Made
Lions Club International Multiple District 20-K2 Shows their Support for NYU Winthrop
Diabetes Executive Earns Elite Honor as a 2018 Fellow of the American Academy of Nursing
A "Bite of Hope" for Children with Diabetes
Local Resident Uses Her Talents to Give Back to Patients in the Neonatal ICU
Yuletide Ball Raises Vital Funds for Child Life Program
Cruizin' for a Cure
Lifting Spirits and Sharing Hope
An Outpouring of Support (and Toys!) for NYU Winthrop’s Smallest Patients
Is it the Forgetfulness of Old Age – or Alzheimer’s?
NYU Winthrop Chosen to Provide Ambulance Services to Garden City

Childhood Migraines – More Common Than You Think

We may think of migraines as an adult problem, but about 10 percent of school-age children suffer from migraines as well, the throbbing pain of these serious headaches causing impairment to a host of activities including learning in school. The incidences of migraines especially rise in girls as they enter the teen years, with nearly one-quarter of all girls having experienced a migraine by the time they turn 17.

So what causes a migraine? Medical experts don’t know for sure, but they are believed to be linked to electrophysiological and neurotransmitter changes in the brain. They can be triggered by factors such as fatigue, bright lights, and weather. Migraines can also be inherited, and if one parent has a history of migraines, unfortunately the child has a 50 percent chance of developing them as well.

NYU Winthrop’s Vijaya Atluru, MD, is Chief of the Division of Pediatric Neurology, and she counts headaches as among the top 10 neurological conditions that she treats. (Seizure disorders, neurodevelopmental delays, ADHD, and concussions are among others.) Fortunately, she says that headaches in children are rarely linked to more serious underlying conditions. Still, they can be debilitating, so in addition to Dr. Atluru examining an impacted child, taking a good medical history, and possibly ordering an MRI, she recommends that the child or parent keep a “headache log.”

“We provide patients with a log, not just to record the date and time of headaches and medications taken in response, but we also want the family to record possible triggers,” says Dr. Atluru. “There can be emotional stress-triggers such as issues at school or among family or friends. There may be physical stress-triggers such as a lack of sleep, bright lights, loud noise, exercise, or menstruation. And then there are food and drink triggers, for example, a child missing a meal or eating too much chocolate or foods with MSG. Most people are also unaware that the amino acids in foods such as cheeses and citrus fruits can trigger migraines. By regularly recording the circumstances surrounding the onset of a migraine, we can often segregate out the triggers specific to an individual child. This in turn, can help mitigate the onset of migraines in addition to leading to healthier habits that can continue on into adulthood, since there is a risk of migraines becoming a chronic condition.”

Dr. Atluru describes three categories of treatment: 1) observation to identify and avoid triggers; 2) “rescue medications” that include the anti-inflammatory Aleve, which should be taken early when there is a hint of a migraine coming on, along with medications in the triptan family that help relieve the pain, and; 3) preventative medications that need to be taken daily.

There are also common sense actions that can help. “A child needs to take care of the body, like you would a car engine,” says Dr. Atluru. That means maintaining a regimen of good sleep hygiene (eight or more hours per night); reducing screen time since that often takes away from sleep and the physical activities that make a child tired; keeping well-hydrated with six to eight glasses of water per day; and making sure to not miss a meal.

For more serious cases of childhood migraines, Dr. Atluru notes that additional measures may be taken that include biofeedback, cognitive behavior therapy, hypnosis, and acupressure.