Diagnosis and Treatment of Childhood Migraine

@article{Merison2016DiagnosisAT,
  title={Diagnosis and Treatment of Childhood Migraine},
  author={Kelsey Merison and Howard S Jacobs},
  journal={Current Treatment Options in Neurology},
  year={2016},
  volume={18},
  pages={1-17}
}
Opinion statementWhile the diagnosis of migraine in children is generally straightforward, treatment can seem complex with a number of medication choices, many of which are used “off label.” Patients with intermittent migraines can often be managed with ibuprofen or naproxen taken as needed. Unfortunately, by the time that children present to our practice, they have often tried these medications without improvement. Triptans are frequently prescribed to these patients with good success. It is… 

How to treat children with headache

It seems that children with migraine and tensiontype headache have more sleep disturbances than the general population and that sleep difficulties are significantly associated with a high level of dysfunction, anxiety, and depression, which are often comorbidity factors in children’s migraine.

Pharmacological Treatment of Headache and Comorbidities

This chapter describes the pharmacotherapy of primary headaches in children affected by additional diseases and summarizes pharmacologic options for migraine and tension-type headache treatment with specific attention to comorbidities.

The efficacy and safety of levetiracetam in the prophylaxis of migraine headaches in children – a randomised trial

Results indicate that levetiracetam might be effective and safe in the prophylaxis of migraine headaches in children, and its headache disability score was significantly improved at the end of the trial.

The use of anti-epileptic drugs in prevention of migraine in children and adolescents

  • M. AmanatM. Ashrafi
  • Medicine, Psychology
    Cephalalgia : an international journal of headache
  • 2020
Sodium valproate was extremely effective in the reduction of migraine frequency in some of the authors' cases, and cinnarizine could be considered as a new preventive option especially for long-term treatment of pediatric migraine, particularly in females.

Current perspectives on the development and treatment of chronic daily headache in children and adolescents.

A focused review on recent empirical work done on pediatric CDH and suggest avenues for future work are suggested.

Antihypertensive agents: a long way to safe drug prescribing in children

Several gaps were noted in the literature, particularly for beta blockers, vasodilators, and the long-term safety profile of antihypertensive agents in children, and further clinical trials are needed to guide safe and effective prescribing in the pediatric population.

Headache in Autism Spectrum Disorders

Headache and related disorders may affect children with ASD as an additional problem to keep in mind when evaluating pain of uncertain origin in this vulnerable population.

A retrospective analysis of triptan and dhe use for basilar and hemiplegic migraine

The objective of this study was to demonstrate that triptans and DHE can be used for the abortive treatment of BM and HM without significant adverse ischemic vascular events.

References

SHOWING 1-10 OF 79 REFERENCES

Treatment of Pediatric Migraine

Rescue medication including dihydroergotamine (DHE), a potent vasoconstrictor should be used for intractable migraines and is preferred in the hospital setting.

Non‐Steroidal Anti‐Inflammatories for the Acute Treatment of Migraine

Menstrual migraine is one of the most challenging forms of migraine, and NSAIDS, especially when added to a triptan, will attack both pain pathways so that inflammation as well as blood vessel dilation are suppressed.

Ibuprofen or Acetaminophen for the Acute Treatment of Migraine in Children

Both ib uprofen and acetaminophen are effective and economical treatments for severe or moderate migraine attacks in children and Ibuprofen gave the best relief.

Efficacy and tolerability of rizatriptan in pediatric migraineurs: Results from a randomized, double-blind, placebo-controlled trial using a novel adaptive enrichment design

Rizatriptan demonstrated a statistically significant improvement over placebo in eliminating pain and was generally well tolerated in migraineurs aged 12–17 and 6–17 years.

Migraine variants – Occurrence in pediatric neurology practice

A Randomized Trial of Propranolol versus Sodium Valproate for the Prophylaxis of Migraine in Pediatric Patients

This prospective study supports the efficacy of propranolol and sodium valproate as prophylaxis for pediatric migraine without aura, based on IHS criteria.

Primary Headaches in Children: Clinical Findings and the Association with other Conditions

Primary headaches in children are not associated with most of the psychiatric and systemic conditions herein investigated, but there was a significant association with anxiety and depression, as frequently reported in adults.

Increased RLS prevalence in children and adolescents with migraine: A case-control study

This is the first study suggesting an association between RLS and migraine in the pediatric population and future studies are needed to determine the extent of sleep disruption in children and adolescents with migraine and comorbid RLS.
...