2024-05-01 21:24:02
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Published on May 1, 24 at 9:24 pm
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In children with migraine, therecurrent absence, and its serious consequences on learning and socialization, it is possible to drop out of school, or even to withdraw from higher education, among other things. However, the adverse consequences of this common neurological disease, on children and their future, are largely unknown.
Finally, Migraine is not well understood, and teaching staff and supervisors, including school nurses, are often at risk. That is why the association La Voix des Migraineux is launching a campaign to raise awareness about the schooling of children with migraine and reminds that there is a legal system: the PAI (Individual Reception Project) proposed by the National Education. This makes it possible to better organize the child’s life in the establishment by specifying their therapeutic needs.
8% of children are true migraine sufferers
The World Health Organization recognizes migraine as the second most debilitating disease in the world. Although it is finally starting to be considered a disease in its own right when it affects adults – it is mainly expressed between the ages of 20 and 50 – children are often overlooked, even though they are affected. also and sometimes from the beginning. age.
A study estimates the prevalence of migraine among French children and adolescents at 8%. Another study estimates that it is at 9% among girls and 7% among boys worldwide.
Symptoms differ from adults
The complex mechanisms of migraine are not fully understood. It seems that the brains of migraine sufferers hypersensitive to stimuli that are harmless to people without migraine. “A brain that is genetically determined to be a migraineur – precisely the hypothalamus that is the generator of attacks – is a brain that is very sensitive to changes (sleep, meals, emotions, pace of life, different activities, etc.), says Professor Anne Donnet, neurologist. at the Pain Assessment and Treatment Center (Marseille University Hospital), and especially hormonal variations. »
The trap is that in children, migraine manifests itself as sometimes different from adult symptomsfor example paleness often before abdominal pain, often severe headache, phonophobia (unbearable sound), photophobia (also light) and aura in 30% of cases (blurred vision, flashes, tingling, language difficulty, weakness, numbness, etc. .
Another difference, the The average duration of a migraine attack is usually shorter in children than in adults (2 hours versus 4 hours on average), and the pain is rather bilateral, affecting both temples or both parts of the forehead at the same time.
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According to data from the Chronic Pain Center at the Timone Hospital in Marseille, one in two children with migraine has more than one attack per month, and 78% of them suffer from moderate to moderately high intensity attacks. In addition, more than 40%. nausea or vomiting during attacks, and more than the third experienced abdominal pain.
The famous “liver crisis” is a migraine
Children may also make a clinical presentation nor headache as a result, states the French Society for the Study of Migraines & Headaches, but in the form of other symptoms that also occur in attacks: recurrent benign vertigo, repeated abdominal pain (“abdominal migraine”), cyclical vomiting, etc. ; for all these forms of “migraine without headache”, the diagnosis of migraine will only be considered when other causes of these symptoms have been eliminated. What we call “liver attacks” or “acetone attacks” are now considered real migraine attacks.
A migraine is not just a headache
La Voix des Migraineurs, which receives many testimonials from parents of children suffering from migraines, is campaigning for creation and validation of a migraine-specific Individual Patient Project (PAI).. This type of PAI “Migraine” would include the action to be taken in the event of a crisis (treatment of the crisis to be given, behaviors to be adopted such as isolating the child in a bright space, and giving him something to -drinking, etc. .) and would make the necessary adjustments to limit stimulating factors in the school and extracurricular environment (canteen, daycare, study). To be continued.
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