Abstract
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.
Highlights
Pediatric migraine remains a challenge for headache specialists, as concerns both diagnostic and therapeutic aspects
There is a need for new effective tools for supplementing the existing diagnostic and therapeutic approaches in children with migraine
Over the last few years, the scientific pediatric community has become increasingly interested in evaluating these methods with respect to the therapeutic approach to pediatric headaches, migraine
Summary
Pediatric migraine remains a challenge for headache specialists, as concerns both diagnostic and therapeutic aspects. There is a need for new effective tools for supplementing the existing diagnostic and therapeutic approaches in children with migraine. Promising results have been obtained in adult headache by applying neurostimulation techniques for investigation of pathophysiological mechanisms as well as for identification of potential clinical biomarkers, and last, but not least, of possible better-tolerated therapeutic alternatives [4]. On such basis, over the last few years, the scientific pediatric community has become increasingly interested in evaluating these methods with respect to the therapeutic approach to pediatric headaches, migraine
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