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[Diagnosis and treatment of migraine in children and adolescents]
Kristoffer Vogler1, Caroline Gren, Nanette Mol Debes
1Kristoffervogler@gmail.com.
Insights
Pediatric migraine treatment focuses on acute care, with headache diaries aiding management. Preventive medication is reserved for severe or difficult-to-treat childhood migraine cases.
Area of Science:
- Neurology
- Pediatrics
Background:
- Migraine is a common neurological disorder affecting both adults and children.
- Pediatric migraine prevalence necessitates specific treatment strategies.
Purpose of the Study:
- To review the latest evidence on treating migraine in children.
- To highlight the role of headache diaries in optimizing treatment and identifying triggers.
Main Methods:
- Literature review of current evidence on pediatric migraine treatment.
- Analysis of the utility of headache diaries.
Main Results:
- Acute migraine treatment in children is well-established.
- Preventive treatment lacks strong evidence and is indicated only for severe or refractory cases.
Conclusions:
- Headache diaries are crucial for effective migraine management in children.
- Preventive migraine therapy in children should be approached cautiously and selectively.
Abstract:
Migraine is common and well-known in the adult population, but also frequent among children. In this review, the latest evidence on how to treat migraine in children is presented. The headache diary in which the episodes of headache are recorded, is an important tool in order to optimize the medical treatment and to avoid identified trigger factors. While the acute treatment of migraine is well-established, preventive medical treatment is not strongly evidence-based and should only be used in selected cases of severe or refractive migraine.
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