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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

Toward the definition of childhood migraine

Donald W Lewis1

  • 1Division of Pediatric Neurology, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, Virginia 23509, USA. dlewis@chkd.com

Current Opinion in Pediatrics
|November 19, 2004
PubMed

Insights

Updated guidelines for pediatric migraine offer new diagnostic criteria and management strategies. This review covers classification, pathophysiology, and treatment options for childhood migraine.

Area of Science:

  • Neurology
  • Pediatrics
  • Headache Medicine

Background:

  • Pediatric migraine diagnosis and management have evolved with new research.
  • Understanding the pathophysiology is key to effective treatment.

Purpose of the Study:

  • To update the understanding of pediatric migraine.
  • Covering diagnostic criteria, classification, pathophysiology, evaluation, and management.

Main Methods:

  • Review of recent literature on pediatric migraine.
  • Analysis of International Headache Society's revised criteria (2004).

Main Results:

  • Revised criteria accommodate developmental changes in children and adolescents.
  • Migraine pathophysiology involves neurochemical cascades and cortical depolarization.
  • Limited role for EEG and neuroimaging in evaluation.
  • Effective acute treatments include ibuprofen, acetaminophen, and sumatriptan.
  • Preventive options include flunarizine, topiramate, valproate, levetiracetam, cyproheptadine, and amitriptyline.

Conclusions:

  • Recent literature has significantly reshaped the definition, evaluation, and management of pediatric migraine.
Abstract

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