Related Experiment Video

Updated: Jan 22, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.4K

Case Report: Shortest Course of Pediatric Paroxysmal Hemicrania

Ryotaro Ishii1, Ryosuke Fukazawa2, Hidesato Takezawa2

  • 1Department of Emergency & Disaster, North Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Headache
|July 3, 2019
PubMed

Insights

This case study highlights a pediatric patient with paroxysmal hemicrania (PH), a rare headache disorder. Short-term, low-dose indomethacin treatment proved effective, suggesting its potential for managing pediatric PH.

Area of Science:

  • Neurology
  • Pediatrics
  • Headache Medicine

Background:

  • Paroxysmal hemicrania (PH) is a rare primary headache disorder.
  • Pediatric cases of PH are particularly uncommon.
  • This report details the first Japanese pediatric PH case.

Observation:

  • An 11-year-old boy presented with severe, unilateral headaches lasting 2-20 minutes, occurring 20-30 times daily.
  • Associated autonomic symptoms included conjunctival injection, lacrimation, nasal congestion, eyelid edema, and ptosis.
  • The patient experienced a rapid headache resolution within two days of initiating low-dose indomethacin.

Findings:

  • The pediatric PH case presented with the shortest reported course.
  • Indomethacin at 0.9 mg/kg/day was highly effective in resolving the headache.
  • The patient remained headache-free for over a year after a brief 14-day treatment course, despite drug eruptions.

Implications:

  • Highlights the need for increased physician awareness of PH in children.
  • Suggests that low-dose, short-term indomethacin may be a viable treatment option for pediatric PH.
  • Warrants further investigation into the efficacy and safety of abbreviated indomethacin regimens for pediatric headache disorders.

Keywords:
Japanesechildparoxysmal hemicraniapediatricshort course

More Related Videos

Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry03:37

Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry

Published on: June 6, 2025

398
Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure15:18

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

18.6K

Related Concept Videos

Data Reporting and Recording01:24

Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.5K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
214
Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.2K
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
269
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
198