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Management of Pediatric Migraine: Current Therapies

Marina Khrizman, Ann Pakalnis

    Pediatric Annals
    |February 16, 2018
    PubMed

    Insights

    Pediatric migraine management involves lifestyle education and psychological therapies. Recent advances in understanding migraine pathophysiology and new treatments offer hope, though preventive therapy faces challenges.

    Area of Science:

    • Neurology
    • Pediatrics

    Background:

    • Migraine is a common neurologic condition in children, significantly impacting daily life and family schedules.
    • Current management emphasizes lifestyle factors like sleep, stress, and hydration, alongside psychological therapies for some patients.

    Purpose of the Study:

    • To review current understanding and management strategies for pediatric migraine.
    • To highlight recent advances and ongoing challenges in treating migraine in children.

    Main Methods:

    • Review of current literature on pediatric migraine pathophysiology and treatment.
    • Discussion of lifestyle modifications, psychological interventions, and pharmacologic therapies.

    Main Results:

    • Advances in understanding migraine pathophysiology and pediatric triptan approvals have improved acute treatment options.
    • Preventive therapy research, like the Childhood and Adolescent Migraine Prevention Study, has yielded mixed results, posing challenges.

    Conclusions:

    • Effective pediatric migraine management requires a multifaceted approach combining lifestyle education, psychological support, and targeted pharmacologic interventions.
    • Differences in pediatric migraine presentation and a notable placebo effect necessitate tailored clinical approaches.

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