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Migraine in Children: A Review
S Ahmed1, S Tabassum, S M Rahman
1Dr Sanjida Ahmed, Medical Officer, Institute of Pediatric Neuro-disorder and Autism (IPNA), Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbagh, Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|September 11, 2016
Summary
Pediatric migraine is a common, disabling condition impacting children
Area of Science:
- Pediatric Neurology
- Headache Medicine
Background:
- Recurrent headaches, particularly migraine, are a frequent and disabling issue in children, significantly affecting their quality of life.
- Clinical characteristics of pediatric migraine differ from adults, often being shorter in duration and bifrontal/bitemporal, with males more affected before puberty and females after.
Purpose of the Study:
- To review the clinical characteristics, diagnosis, and management of migraine in children.
- To highlight the importance of excluding secondary causes and the role of pediatricians in managing pediatric migraine.
Main Methods:
- Literature review of pediatric migraine characteristics, diagnosis, and treatment options.
- Discussion of diagnostic tools like the Pediatric Migraine Disability Assessment Scale (PedMIDAS).
Main Results:
- Migraine in children presents unique features compared to adults.
- Management involves non-pharmacological approaches (parental education, lifestyle changes) and pharmacological treatments (Acetaminophen, NSAIDs, Triptans, preventive medications).
- Sumatriptan nasal spray is noted as effective for acute treatment in children.
Conclusions:
- Effective management of pediatric migraine requires a comprehensive approach, including parental education and appropriate pharmacological interventions.
- Pediatricians play a crucial role in diagnosing migraine, ruling out secondary causes, and improving children's quality of life and academic performance.
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