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Updated: Sep 16, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Headaches in childhood
1Department of Pediatrics, University of Mississippi Medical Center, Jackson 39216.
Insights
Childhood headaches are common, often indicating migraine, not serious illness. Evaluation and treatment mirror adult approaches, with careful diagnosis to distinguish migraine from seizures.
Area of Science:
- Pediatric Neurology
- Headache Medicine
Background:
- Childhood headache is a prevalent clinical issue.
- Evaluation and treatment strategies are largely comparable to adult cases, with age-specific diagnostic considerations.
Purpose of the Study:
- To outline the diagnostic and therapeutic approach for childhood headaches.
- To differentiate common childhood headaches, primarily migraine, from serious intracranial conditions and seizure disorders.
- To discuss uncommon migraine variants specific to children.
Main Methods:
- Evaluation methods based on illness timeline and pathophysiological factors.
- Differential diagnosis, focusing on distinguishing migraine from seizures.
- Review of current literature and clinical experience for treatment strategies.
Main Results:
- Most chronic recurrent headaches in children are migraines.
- Close follow-up (4-6 months) aids diagnosis when uncertainty exists.
- Specific migraine variants and their diagnostic challenges in children are presented.
Conclusions:
- Migraine is the most frequent diagnosis for chronic recurrent headaches in childhood.
- Accurate differentiation from seizures is crucial, guided by history and associated symptoms.
- Treatment should consider the natural course of migraine, with many cases improving spontaneously.
Abstract:
Childhood headache is a common problem. The approach to evaluation and therapy is similar to that in adults with the exception that the differential is slightly altered and varies by age. Methods of evaluation have been proposed based on the time course of the illness as well as on pathophysiologic considerations. Although serious intracranial disease needs to be ruled out, in most cases chronic recurrent headache of childhood represents migraine. When doubt exists, close follow-up for 4 to 6 months should clarify the issue. Migraine variants are described that are uncommon or not seen in adults, and their differential diagnosis is discussed. The most difficult differential is between that of migraine and seizures. Variations in history and associated findings are described to help in the diagnosis of seizure versus migraine. Finally, methods of treatment are given based on my experience and review of the current literature. Many patients with migraine will improve over time regardless of what is done, and this should be kept in mind when treating these patients.
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