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Article ; Online: Headache in Individuals with Neurodevelopmental Disorders.

Chadehumbe, Madeline A

2023 Volume 27, Issue 10, Page(s) 623–629

Abstract: Purpose of review: Migraine is a common condition affecting an estimated billion people across the world. The incidence in individuals with neurodevelopmental disorders or intellectual disabilities like those seen in severe autism spectrum disorder (ASD) ...

Abstract	Purpose of review: Migraine is a common condition affecting an estimated billion people across the world. The incidence in individuals with neurodevelopmental disorders or intellectual disabilities like those seen in severe autism spectrum disorder (ASD) is unknown. This is likely due to the limited capacity to communicate the specifics of pain. The expression of pain with maladaptive behaviors, such as self-injurious behavior (SIB), has been described and can alert the clinician to the presence of untreated pain. This review article serves to educate the reader about clinical and treatment considerations when managing headaches in individuals with severe or non-verbal neurodevelopmental disorders given their communication challenges. It will include some clinical experiences and the gaps in our current knowledge. Recent findings: A comprehensive literature review was conducted using scientific databases, including PubMed, Medline, and Google Scholar. Only 1 article addressed the consideration for headaches in this population. The search was conducted using a combination of the following keywords: headache, intellectual disabilities, autism, pain, and behavior. Headache pain is likely underestimated and represents a disservice to this population of people. The consideration for headache pain should be explored when maladaptive behaviors are otherwise unexplainable. Further studies are needed in the area.
MeSH term(s)	Humans ; Autism Spectrum Disorder/complications ; Autism Spectrum Disorder/epidemiology ; Intellectual Disability/epidemiology ; Headache/epidemiology ; Migraine Disorders ; Pain
Language	English
Publishing date	2023-08-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2055062-5
ISSN	1534-3081 ; 1531-3433
ISSN (online)	1534-3081
ISSN	1531-3433
DOI	10.1007/s11916-023-01153-y
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Article ; Online: Neurologic Care in Concussion and Post-Concussive Encephalopathy.

Chadehumbe, Madeline A

Current problems in pediatric and adolescent health care

2016 Volume 46, Issue 2, Page(s) 52–57

Abstract: Concussion has become a more recent "medical fad" with a lot of media coverage and hence an increasing incidence. According to the Center for Disease Control (CDC) and Prevention there are estimates of as many as 3.8 million sport-related traumatic brain ...

Abstract	Concussion has become a more recent "medical fad" with a lot of media coverage and hence an increasing incidence. According to the Center for Disease Control (CDC) and Prevention there are estimates of as many as 3.8 million sport-related traumatic brain injuries occurring annually (Centers for Disease Control and Prevention, 2007). Given these numbers, concussion care will require that both primary and specialist physicians feel comfortable in its management. This article will discuss the pathophysiology, epidemiology, clinical evaluation, therapies and prognosis in patients with concussion. The complex and chronic symptoms after a concussion and their management will be highlighted. Appropriate concussion care is essential for improving both the long and short term outcomes in adolescent athletes. There is an important role for the neurologist in improving the outcome in these athletes.
MeSH term(s)	Adolescent ; Age Factors ; Athletic Injuries/diagnosis ; Athletic Injuries/physiopathology ; Athletic Injuries/therapy ; Brain Concussion/diagnosis ; Brain Concussion/physiopathology ; Brain Concussion/therapy ; Brain Injuries/diagnosis ; Brain Injuries/physiopathology ; Brain Injuries/therapy ; Child ; Emergency Treatment ; Evidence-Based Medicine ; Humans ; Neurologic Examination/methods ; Practice Guidelines as Topic ; Prognosis ; Recovery of Function ; Referral and Consultation ; Time Factors
Language	English
Publishing date	2016-02
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2078029-1
ISSN	1538-3199 ; 0045-9380 ; 1538-5442
ISSN (online)	1538-3199
ISSN	0045-9380 ; 1538-5442
DOI	10.1016/j.cppeds.2015.11.004
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Article ; Online: Advances in the Treatment of Tourette's Disorder.

Chadehumbe, Madeline A / Brown, Lawrence W

Current psychiatry reports

2019 Volume 21, Issue 5, Page(s) 31

Abstract: Purpose of review: This article was written in order to bring the reader up to date with developments that have occurred in the treatment of Tourette disorder (TD) over the last 5 years.: Recent findings: Despite the fact that TD has been recognized ... ...

Abstract	Purpose of review: This article was written in order to bring the reader up to date with developments that have occurred in the treatment of Tourette disorder (TD) over the last 5 years. Recent findings: Despite the fact that TD has been recognized for over a century, the understanding of the underlying mechanisms remains poor. There has been limited development in the last 5 years for new therapeutic options. Aripipazole is the only newly approved pharmaceutical therapy for TD in the last 5 years, although several medications are under active study. For the most severely affected individuals, there is increasing experience with surgical interventions. One of the most promising areas of research is the work of genetic consortiums currently looking into identifying the underlying pathogenetic basis which in turn will hopefully lead to the development of safer and more effective therapies.
MeSH term(s)	Aripiprazole/therapeutic use ; Behavior Therapy ; Dopamine D2 Receptor Antagonists/therapeutic use ; Genetic Therapy ; Humans ; Tourette Syndrome/diagnosis ; Tourette Syndrome/therapy
Chemical Substances	Dopamine D2 Receptor Antagonists ; Aripiprazole (82VFR53I78)
Language	English
Publishing date	2019-03-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2055376-6
ISSN	1535-1645 ; 1523-3812
ISSN (online)	1535-1645
ISSN	1523-3812
DOI	10.1007/s11920-019-1018-z
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Article: A rare pediatric case of cluster headaches after cardiac catheterization in a patient with an isolated innominate artery.

Yu, Kimberley / Chadehumbe, Madeline

SAGE open medical case reports

2021 Volume 9, Page(s) 2050313X211023679

Abstract: While cluster headaches are classified and considered a primary headache disorder, secondary causes of cluster headaches have been reported and may provide insight into cluster headaches' potential pathophysiology. The mechanisms underlying this headache ...

Abstract	While cluster headaches are classified and considered a primary headache disorder, secondary causes of cluster headaches have been reported and may provide insight into cluster headaches' potential pathophysiology. The mechanisms underlying this headache phenotype are poorly understood, and several theories have been proposed that range from the activation within the posterior hypothalamus to autonomic tone dysfunction. We provide a review of reported cases in the literature describing secondary causes after cardiac procedures. We will present a novel pediatric case report of a 16-year-old boy with an isolated innominate artery who presented with acute new-onset headaches 8 h following cardiac catheterization of the aortic arch with arteriography and left pulmonary artery stent placement. The headaches were characterized by attacks of excruciating pain behind the left eye and jaw associated with ipsilateral photophobia, conjunctival injection, rhinorrhea, with severe agitation and restlessness. These met the
Language	English
Publishing date	2021-06-11
Publishing country	England
Document type	Case Reports
ZDB-ID	2736953-5
ISSN	2050-313X
ISSN	2050-313X
DOI	10.1177/2050313X211023679
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Article ; Online: Implementing screening and treatment for adverse childhood experiences in pediatric patients with headache at the Children's Hospital of Philadelphia.

Anto, Marissa Maliakal / Karvounides, Dina / Magerman Lynch, Jillyan / Chadehumbe, Madeline / Szperka, Christina L

Headache

2023 Volume 63, Issue 7, Page(s) 965–967

MeSH term(s)	Child ; Humans ; Adverse Childhood Experiences ; Philadelphia ; Headache ; Hospitals
Language	English
Publishing date	2023-06-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	410130-3
ISSN	1526-4610 ; 0017-8748
ISSN (online)	1526-4610
ISSN	0017-8748
DOI	10.1111/head.14590
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Article ; Online: A rare pediatric case of cluster headaches after cardiac catheterization in a patient with an isolated innominate artery

Kimberley Yu / Madeline Chadehumbe

SAGE Open Medical Case Reports, Vol

2021 Volume 9

Abstract: While cluster headaches are classified and considered a primary headache disorder, secondary causes of cluster headaches have been reported and may provide insight into cluster headaches’ potential pathophysiology. The mechanisms underlying this headache ...

Abstract	While cluster headaches are classified and considered a primary headache disorder, secondary causes of cluster headaches have been reported and may provide insight into cluster headaches’ potential pathophysiology. The mechanisms underlying this headache phenotype are poorly understood, and several theories have been proposed that range from the activation within the posterior hypothalamus to autonomic tone dysfunction. We provide a review of reported cases in the literature describing secondary causes after cardiac procedures. We will present a novel pediatric case report of a 16-year-old boy with an isolated innominate artery who presented with acute new-onset headaches 8 h following cardiac catheterization of the aortic arch with arteriography and left pulmonary artery stent placement. The headaches were characterized by attacks of excruciating pain behind the left eye and jaw associated with ipsilateral photophobia, conjunctival injection, rhinorrhea, with severe agitation and restlessness. These met the International Classification of Headache Disorders -3 criteria for episodic cluster headaches. The headaches failed to respond to non-steroidal anti-inflammatory medications, dopamine antagonists, and steroids. He showed an immediate response to treatment with oxygen. This unique case of cluster headaches following cardiac catheterization in a pediatric patient with an isolated innominate artery may provide new insight into cluster headaches’ pathogenesis. We hypothesize that the cardiac catheterization induced cardiac autonomic changes that contributed to the development of his cluster headaches. The role of aortic arch anomalies and procedures in potential disruption of the autonomic tone and the causation of cluster headaches is an area requiring further study.
Keywords	Medicine (General) ; R5-920
Language	English
Publishing date	2021-06-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Child Neurology Telemedicine: Understanding the Data We Have and Finding the Patients We Do Not See.

Chadehumbe, Madeline / Craig, Sansanee / Stephenson, Donna / Helbig, Ingo

Pediatric neurology

2020 Volume 116, Page(s) 84

MeSH term(s)	Child ; Family ; Humans ; Neurology ; Telemedicine
Language	English
Publishing date	2020-12-13
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	639164-3
ISSN	1873-5150 ; 0887-8994
ISSN (online)	1873-5150
ISSN	0887-8994
DOI	10.1016/j.pediatrneurol.2020.11.010
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Article ; Online: Patient headache questionnaires can improve headache diagnosis and treatment in children.

Headache

2023 Volume 63, Issue 10, Page(s) 1359–1371

Abstract: Objective: To examine trends in diagnosis of headache and migraine in a large pediatric neurology cohort, and test whether an electronic health record (EHR)-integrated headache questionnaire can increase specificity of diagnosis and likelihood of ... ...

Abstract	Objective: To examine trends in diagnosis of headache and migraine in a large pediatric neurology cohort, and test whether an electronic health record (EHR)-integrated headache questionnaire can increase specificity of diagnosis and likelihood of prescribing migraine treatment. Background: Under-diagnosis of migraine contributes to the burden of disease. As we founded our Pediatric Headache Program in 2013, we recognized that the proportion of patients with headache who were given a diagnosis of migraine was much lower than expected. Methods: We developed a patient headache questionnaire, initially on paper (2013-2014), then in an electronic database (2014-2016), and finally integrated into our electronic health record (pilot: 2016, full: May 2017). We compared diagnoses and prescribed treatments for new patients who were given a headache diagnosis, looking at trends in the proportion of patients given specific diagnoses (migraine, etc.) versus the non-specific diagnosis, "headache." Next, we conducted a prospective cohort study to test for association between provider use of the form and the presence of a specific diagnosis, then for an association between specific diagnosis and prescription of migraine treatment. Results: Between July 2011 and December 2022 the proportion of new headache patients who were given a diagnosis of migraine increased 9.7% and non-specific headache diagnoses decreased 21.0%. In the EHR cohort (June 2017-December 2022, n = 15,122), use of the provider form increased the rate of specific diagnosis to 87.2% (1839/2109) compared to 75.5% (5708/7560) without a patient questionnaire, nearly doubling the odds of making a specific diagnosis (odds ratio [OR] 1.90, 95% confidence interval [CI]: 1.65-2.19). Compared to those given only a non-specific headache diagnosis who were prescribed a migraine therapy 53.7% (1766/3286) of the time, 75.3% (8914/11836) of those given a specific diagnosis received a migraine therapy, more than doubling the odds of prescription (OR 2.39, 95% CI: 2.20-2.60). Conclusions: Interventions to improve specificity of diagnosis were effective and led to increased rates of prescription of migraine treatments. These results have been sustained over several years. This headache questionnaire was adapted into the Foundation system of EpicCare, so it is broadly available as a clinical and research tool for institutions that use this EHR software.
MeSH term(s)	Humans ; Child ; Prospective Studies ; Headache/diagnosis ; Headache/therapy ; Migraine Disorders/therapy ; Migraine Disorders/drug therapy ; Surveys and Questionnaires ; Neurology
Language	English
Publishing date	2023-11-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	410130-3
ISSN	1526-4610 ; 0017-8748
ISSN (online)	1526-4610
ISSN	0017-8748
DOI	10.1111/head.14643
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Article ; Online: Teaching NeuroImage: Selectively Bright Inferior Cerebellum in Christianson Syndrome.

Alves, Cesar Augusto P F / Clifford, Simon M / McKeown Ruggiero, Sarah / Helbig, Ingo / Chadehumbe, Madeline / Shekdar, Karuna

Neurology

2022 Volume 99, Issue 18, Page(s) 815–816

MeSH term(s)	Humans ; Epilepsy ; Genetic Diseases, X-Linked ; Intellectual Disability ; Cerebellum/diagnostic imaging
Language	English
Publishing date	2022-10-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	207147-2
ISSN	1526-632X ; 0028-3878
ISSN (online)	1526-632X
ISSN	0028-3878
DOI	10.1212/WNL.0000000000201234
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Article ; Online: Improving the Patient Experience With Migraine Camp, a One-Day Group Intervention for Adolescents With Chronic Headache and Their Parents.

Hall, Amanda L / Karvounides, Dina / Gelfand, Amy A / Mankin, Haley / Kessel, Shirley / Corroo, Janet / Malavolta, Carrie P / Pezzuto, Tara / Chadehumbe, Madeline / Szperka, Christina L

Headache

2019 Volume 59, Issue 8, Page(s) 1392–1400

Abstract: Though chronic migraine is actually common in adolescents, living with constant headache can be isolating for both patients and their families. As an outgrowth of clinical care, we developed the Miles for Migraine Youth Camp, a recurring 1-day event for ... ...

Abstract	Though chronic migraine is actually common in adolescents, living with constant headache can be isolating for both patients and their families. As an outgrowth of clinical care, we developed the Miles for Migraine Youth Camp, a recurring 1-day event for adolescents with chronic headache and their parents. Migraine Camp was developed to provide expanded headache education, teach coping strategies for living with chronic pain, and encourage development of a supportive community for adolescents living with chronic headache disorders and their families. The creation and curriculum of the Camps at the University of California San Francisco and Children's Hospital of Philadelphia are described in this manuscript, along with patient and caregiver feedback. Overall, feedback was positive. Teens reported feeling less isolated and more prepared to cope with headaches using new strategies. Both patients and caregivers consistently described benefit from connecting with others who experience similar challenges. The Migraine Camp teams at both institutions found it feasible to conduct the Camps 1-2 times per year using existing resources, but noted that to scale it to a more regular event additional administrative and/or volunteer support would be needed. In summary, the experience has been positive for patients, caregivers, and staff, and we hope that this manuscript can serve as a "how to" model for similar events at other institutions.
MeSH term(s)	Adolescent ; Adult ; Cognitive Behavioral Therapy/methods ; Female ; Headache Disorders ; Humans ; Male ; Middle Aged ; Migraine Disorders ; Parents ; Patient Education as Topic/methods
Language	English
Publishing date	2019-06-05
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	410130-3
ISSN	1526-4610 ; 0017-8748
ISSN (online)	1526-4610
ISSN	0017-8748
DOI	10.1111/head.13570
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