Pediatric Migraine: An Update

Neurol Clin. 2019 Nov;37(4):815-833. doi: 10.1016/j.ncl.2019.07.009. Epub 2019 Aug 31.


This article outlines key features of diagnosis and treatment of migraine in children and adolescents. It emphasizes techniques that can be used by clinicians to optimize history taking in this population, as well as recognition of episodic conditions that may be associated with migraine and present in childhood. Acute treatment strategies include use of over-the-counter analgesics and triptan medications that have been approved by the US Food and Drug Administration for use in children and adolescents. Preventive treatment approach includes lifestyle modifications, behavioral strategies, and consideration of preventive medications with the lowest side effect profiles.

Keywords: Adolescents; Children; Headache; Migraine; Pediatric.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Analgesics / administration & dosage
  • Antibodies, Monoclonal / administration & dosage
  • Behavior Therapy / methods
  • Child
  • Humans
  • Migraine Disorders / diagnosis*
  • Migraine Disorders / psychology
  • Migraine Disorders / therapy*
  • Tryptamines / administration & dosage


  • Analgesics
  • Antibodies, Monoclonal
  • Tryptamines