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[Migraine and chronic headache in children]
D Annequin1, C Dumas, B Tourniaire
1Unité Fonctionnelle d'Analgésie Pédiatrique. Hôpital d'enfants Armand Trousseau, 26 avenue du Docteur Arnold Netter, 75571 Paris cedex 12, France. dannequin.trousseau@invivo.edu
Revue Neurologique
|January 5, 2001
Summary
Migraine in children is often misdiagnosed, causing significant disability and school absence. Early treatment with ibuprofen and non-pharmacological therapies can effectively manage this common chronic headache disorder.
Area of Science:
- Pediatric Neurology
- Headache Medicine
- Clinical Pediatrics
Context:
- Migraine is the primary chronic headache disorder in children and adolescents.
- Diagnosis is often underestimated and misdiagnosed in the pediatric population.
- Lack of specific biomarkers or imaging contributes to misdiagnosis as psychological illness.
Purpose:
- To highlight the clinical characteristics of pediatric migraine.
- To discuss the prevalence, triggers, and disabling nature of migraine in children.
- To outline current treatment strategies for acute and prophylactic management.
Summary:
- Pediatric migraine presents with severe, episodic headaches, often bilateral and frontal, accompanied by digestive symptoms, photophobia, and phonophobia.
- Common triggers include emotional stress, sleep disturbances, and sensory stimuli.
- Treatment involves early administration of ibuprofen, alternative routes for nausea/vomiting, and non-pharmacological prophylactic measures.
Impact:
- Migraine significantly impacts children's quality of life, leading to missed school days.
- Accurate diagnosis and timely intervention are crucial for managing pediatric migraine effectively.
- Non-pharmacological and pharmacological treatments offer viable options for managing and preventing migraine attacks.