Related Experiment Video
Updated: Nov 25, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Migraine in Children Under 7 Years of Age: a Review
Vincenzo Raieli1, Antonina D'Amico2, Ettore Piro3
1Child Neuropsychiatry Unit- ISMEP -P.O. Cristina - ARNAS Civico, via dei Benedettini 1, Palermo, Italy. vraieli@libero.it.
Insights
Migraine is common in children under 7, presenting unique clinical and therapeutic challenges. Early identification and management are crucial due to potential long-term negative impacts.
Area of Science:
- Neurology
- Pediatrics
- Epidemiology
Background:
- Pediatric headache research is extensive, yet data on children under 7 remain limited.
- Migraine affects up to 4% of the general pediatric population, but prevalence may be underestimated in younger children.
- Challenges in diagnosing migraine in young children include difficulty describing pain and reliance on parental reports.
Purpose of the Study:
- To provide a comprehensive review of the epidemiologic, clinical, and therapeutic aspects of migraine in children under 7 years of age.
- To highlight the unique characteristics of migraine in this specific age group compared to older children.
- To discuss the potential role of prenatal and perinatal factors in migraine development.
Main Methods:
- Literature review of existing studies on pediatric migraine.
- Analysis of clinical presentation and therapeutic approaches in children under 7.
- Exploration of epidemiological data and diagnostic challenges.
Main Results:
- Migraine in children under 7 exhibits distinct clinical and therapeutic differences from older age groups.
- Early-onset migraine may negatively influence its natural course, underscoring the need for early intervention.
- Prenatal and perinatal factors may predispose children to or anticipate the onset of migraine.
Conclusions:
- Migraine is not rare in children under 7 and presents a significant clinical challenge.
- Early identification and management of migraine in young children are recommended.
- Further research is needed to address undefined features of migraine in this population.
Purpose Of Review:
Despite the accumulation of a significant amount of data on pediatric headache, few studies have been conducted on its occurrence in children under 7 years of age. Within primary headaches in this age, migraine especially, turns out to be a disorder affecting up to 4% of the general population. An underestimate of its true prevalence can be due to lack of specific diagnostic markers, the frequent difficulty of describing pain in childhood, and the necessity of reliable parents' reports. Thus, migraine in children under 7 years of age represents an important challenge for clinicians. The objective of this manuscript is to provide a comprehensive review of epidemiologic, clinic, and therapeutic aspects of migraine in this age.
Recent Findings:
Current literature data show that migraine has some differences, especially in clinical and therapeutic terms, in this age group compared to subsequent ages. Furthermore, some evidences showing that an early onset of migraine may play an unfavorable role in its natural history, suggest an early identification and management of migraine in younger children. Moreover, we highlight the role that factors of prenatal and perinatal development can play in the predisposition and anticipation of migraine onset. Finally, open questions related to the several undefined features of migraine in this age are reported. Migraine in this pediatric population is absolutely not rare, represents an importan clinical challenge and probably has a negative predictive role.
More Related Videos
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Pharmacokinetics in Pediatric Patients: Drug Excretion
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Factors Affecting Drug Response: Overview
Pharmacokinetics in Pediatric Patients: Drug Distribution

