Pediatric Migraine

Migraine is the most common cause of acute recurrent headaches in children. The pathophysiological concepts have evolved from a purely vascular etiology to a neuroinflammatory process. Clinical evaluation is the mainstay of diagnosis and should also include family history. Investigations help to rul...

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Main Authors: Ubaid Hameed Shah, Veena Kalra
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2009/424192
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author Ubaid Hameed Shah
Veena Kalra
author_facet Ubaid Hameed Shah
Veena Kalra
author_sort Ubaid Hameed Shah
collection DOAJ
description Migraine is the most common cause of acute recurrent headaches in children. The pathophysiological concepts have evolved from a purely vascular etiology to a neuroinflammatory process. Clinical evaluation is the mainstay of diagnosis and should also include family history. Investigations help to rule out secondary causes. The role of new drugs in treatment of migraine is discussed and trials are quoted from literature. Indications for starting prophylaxis should be evaluated based on frequency of attacks and influence on quality of life. For management of acute attacks of migraine both acetaminophen and ibuprofen are recommended for use in children. Many drugs like antiepileptic drugs (AED), calcium channel blockers, and antidepressants have been used for prophylaxis of migraine in children. The data for use of newer drugs for migraine in children is limited, though AEDs are emerging a popular choice. Biofeedback and other nonmedicinal therapies are being used with promising results.
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publishDate 2009-01-01
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series International Journal of Pediatrics
spelling doaj-art-7e3a3269e6424a2db9de5306e53fba6a2025-02-03T06:07:07ZengWileyInternational Journal of Pediatrics1687-97401687-97592009-01-01200910.1155/2009/424192424192Pediatric MigraineUbaid Hameed Shah0Veena Kalra1Apollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, IndiaApollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, IndiaMigraine is the most common cause of acute recurrent headaches in children. The pathophysiological concepts have evolved from a purely vascular etiology to a neuroinflammatory process. Clinical evaluation is the mainstay of diagnosis and should also include family history. Investigations help to rule out secondary causes. The role of new drugs in treatment of migraine is discussed and trials are quoted from literature. Indications for starting prophylaxis should be evaluated based on frequency of attacks and influence on quality of life. For management of acute attacks of migraine both acetaminophen and ibuprofen are recommended for use in children. Many drugs like antiepileptic drugs (AED), calcium channel blockers, and antidepressants have been used for prophylaxis of migraine in children. The data for use of newer drugs for migraine in children is limited, though AEDs are emerging a popular choice. Biofeedback and other nonmedicinal therapies are being used with promising results.http://dx.doi.org/10.1155/2009/424192
spellingShingle Ubaid Hameed Shah
Veena Kalra
Pediatric Migraine
International Journal of Pediatrics
title Pediatric Migraine
title_full Pediatric Migraine
title_fullStr Pediatric Migraine
title_full_unstemmed Pediatric Migraine
title_short Pediatric Migraine
title_sort pediatric migraine
url http://dx.doi.org/10.1155/2009/424192
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