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Migraine headaches in children

H S Singer1

  • 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.

Pediatrics in Review
|March 1, 1994
PubMed
Summary
This summary is machine-generated.

Pediatric migraine management requires individualized care beyond medication. Behavioral therapies and trigger avoidance are key to reducing headache frequency and severity in children and adolescents.

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Area of Science:

  • Pediatric Neurology
  • Headache Medicine

Background:

  • Migraine headaches are prevalent in children and adolescents.
  • Evolving diagnostic criteria aid in identifying pediatric migraine syndromes.
  • Migraine presentations vary widely, from mild bifrontal to severe unilateral pain with neurological deficits.

Purpose of the Study:

  • To outline current understanding and management strategies for pediatric migraine.
  • To emphasize the importance of individualized treatment approaches.
  • To highlight the role of non-pharmacological interventions.

Main Methods:

  • Review of diagnostic criteria and clinical presentations of pediatric migraine.
  • Discussion of therapeutic interventions, including symptomatic, behavioral, and pharmacological approaches.

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  • Consideration of neurodiagnostic studies for specific clinical indications.

    • Main Results:

    • Individualized treatment plans are crucial for effective migraine management.
    • Behavioral therapy (psychological support, relaxation, biofeedback) significantly reduces migraine frequency and severity.
    • Symptomatic treatment with analgesics and rest is often sufficient.
    • Ergotamines and parenteral dihydroergotamine (DHE) have roles in specific severe cases.
    • Long-term stabilization strategies are available for childhood migraine.

    Conclusions:

    • Comprehensive migraine care in children integrates pharmacotherapy with behavioral interventions and trigger management.
    • Neuroimaging is reserved for cases with concerning neurological signs or symptoms.
    • A multi-faceted approach ensures optimal outcomes for pediatric migraine patients.