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Migraine headaches in the adolescent.
1Departments of Pediatrics and Neurology, Eastern Virginia Medical School, Norfolk, Virginia 23510, USA.
Adolescent Medicine (Philadelphia, Pa.)
|September 25, 2002
Summary
Adolescent migraine headaches cause significant school absences. A systematic management program, including lifestyle changes and new medications, can minimize these effects.
Area of Science:
- Neurology
- Pediatrics
Background:
- Migraine headaches are prevalent in adolescents, causing intense head pain and nausea.
- These headaches significantly impact school attendance and productivity.
- A systematic management approach is crucial for mitigating adverse effects.
Purpose of the Study:
- To review the characteristics of adolescent migraine.
- To emphasize effective office-based management strategies.
Main Methods:
- Diagnosis confirmation and patient reassurance.
- Identification and modification of lifestyle contributors (sleep, activity, stress, diet).
- Review of acute and preventative pharmacologic options based on headache burden.
Main Results:
- Systematic management programs can reduce the impact of adolescent migraines.
- Lifestyle modifications and behavioral therapies are key components.
- A wide range of new pharmacologic treatments are available for acute and preventative care.
Conclusions:
- Adolescent migraine requires a comprehensive management plan.
- Treatment selection should be individualized based on patient-specific factors.
- Office-based management is effective in addressing adolescent migraine phenomena.