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Updated: Jun 17, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Advances in paediatric migraine
1Department of Paediatrics, York Central Hospital, Richmond Hill, Ontario.
Insights
Pediatric migraine is common, with most cases being primary headaches. Triptans, a serotonin agonist medication, are effective for treating acute migraines in children, aligning with adult treatment standards.
Area of Science:
- Pediatric Neurology
- Neuroscience
- Pharmacology
Background:
- Headaches are a frequent pediatric primary care complaint.
- Most childhood headaches are primary syndromes like migraine or tension-type.
- Parental concern often involves fear of serious underlying pathology.
Purpose of the Study:
- To review recent advances in pediatric migraine.
- To focus on epidemiology, diagnostic criteria, and pathophysiology.
- To examine management strategies, including neuroimaging and triptan use.
Main Methods:
- Review of current literature on pediatric migraine.
- Analysis of evolving diagnostic criteria for children.
- Examination of evidence for pharmacotherapy, specifically triptans.
Main Results:
- Migraine is a prevalent primary headache disorder in children.
- Diagnostic criteria for pediatric migraine are under revision.
- Triptans demonstrate efficacy in treating acute pediatric migraines, similar to adults.
Conclusions:
- Pediatric migraine management benefits from understanding evolving diagnostic criteria and pathophysiology.
- Triptans represent an effective treatment option for acute pediatric migraines.
- Further research supports the use of triptans in this population.
Abstract:
Headache is one of the most common complaints of children who present to primary care providers. Although parents are often concerned about sinister pathology, the majority of children with headaches have primary headache syndromes, including migraine and tension-type headaches. Diagnostic criteria for children are currently evolving to better reflect the unique challenges of this group of patients. Advances in migraine pharmacotherapy have been achieved through the understanding of serotonin and its role in migraine pathophysiology. Serotonin agonists, commonly known as 'triptans', are the current standard of care in the management of acute migraine in adults. Recent evidence has confirmed that the efficacy of triptans also occurs in children. The present article focuses on recent advances in the areas of epidemiology, diagnostic criteria and pathophysiology of paediatric migraine. In addition, the present article reviews the evidence of management issues, including neuroimaging and the use of triptans in children.
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