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Treatment of pediatric migraine in the emergency room

Amy A Gelfand1, Peter J Goadsby

  • 1Division of Child Neurology, Department of Neurology, University of California, San Francisco, San Francisco, California, USA. GelfandA@neuropeds.ucsf.edu

Pediatric Neurology
|September 12, 2012
PubMed

Insights

Pediatric emergency room visits for migraine are common. This review summarizes current evidence to guide the management of children with migraine in the emergency department, addressing a gap in pediatric-specific research.

Area of Science:

  • Neurology
  • Pediatrics
  • Emergency Medicine

Background:

  • Pediatric migraine is a frequent cause for emergency department (ED) visits.
  • Limited randomized controlled trials (RCTs) exist for pediatric migraine management in the ED setting.
  • Current guidelines often extrapolate from adult ED studies and pediatric outpatient data.

Purpose of the Study:

  • To review existing knowledge on pediatric migraineurs in the ED.
  • To summarize the best available evidence for managing acute pediatric migraine in emergency departments.
  • To provide guidance for clinical decision-making in this population.

Main Methods:

  • Literature review of current knowledge and evidence.
  • Focus on studies relevant to emergency department settings.
  • Synthesis of data to inform clinical practice.

Main Results:

  • Paucity of high-quality, pediatric-specific randomized trials for ED migraine management.
  • Recommendations are often based on adult data or outpatient pediatric studies.
  • Need for evidence-based strategies tailored to the ED environment.

Conclusions:

  • Effective management of pediatric migraine in the ED requires careful consideration of limited evidence.
  • Clinical decisions should integrate available data while acknowledging the need for more pediatric-focused ED research.
  • This review aims to bridge the gap in evidence-based care for pediatric migraine in emergency settings.

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