Pediatric Migraine: An Update

Kaitlin Greene; Samantha L Irwin; Amy A Gelfand

doi:10.1016/j.ncl.2019.07.009

Pediatric Migraine: An Update

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

Authors

Kaitlin Greene¹, Samantha L Irwin¹, Amy A Gelfand²

Affiliations

¹ Department of Neurology, UCSF Pediatric Headache Center, University of California, San Francisco, UCSF Benioff Children's Hospital, Mission Hall Box 0137, 550 16th Street, 4th Floor, San Francisco, CA 94158, USA.
² Department of Neurology, UCSF Pediatric Headache Center, University of California, San Francisco, UCSF Benioff Children's Hospital, Mission Hall Box 0137, 550 16th Street, 4th Floor, San Francisco, CA 94158, USA. Electronic address: amy.gelfand@ucsf.edu.

PMID: 31563234
DOI: 10.1016/j.ncl.2019.07.009

Abstract

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

Substances

Analgesics
Antibodies, Monoclonal
Tryptamines