Migraine (cont.)

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How are migraines managed in children?

Migraine headaches may occur in children. Treatment is similar to the treatment of migraines in adults, but medication dosages may need to be adjusted because of the smaller size of the pediatric patients. Acetaminophen and ibuprofen are often quite effect in controlling acute headaches. For more severe or refractory headaches, some of the triptans have been identified as being beneficial. If headaches occur frequently, daily medication may be warranted for prevention. Diet, regular sleep patterns, routine exercise, and biofeedback, are all potentially beneficial in decreasing the frequency and severity of migraines in children. Identification and avoidance of triggers through the use of a headache diary is a helpful tool.

What is the prognosis for migraines?

Most patients who have migraines find that their headaches may be controlled with the preventive medications and lifestyle modification. Patients with a diagnosis of migraine need to be aware of how their lifestyle may directly impact the frequency and severity of their headache. Controlling migraine triggers may provide substantial benefit. It has been identified that as patients get older, there may be a decrease in the frequency of headaches and migraines may disappear after a number of years.

Can migraines be prevented?

Those individuals who are susceptible to developing migraines will always have some component of risk, but daily use of medications and avoidance of headache triggers are often effective in prevention.

REFERENCES:

"ICHD-II Classification: Parts 1–3: Primary, Secondary and Other." Cephalalgia 24 (2004): 23-136.

Lewis, D., et al. "Practice Parameter: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcommittee and the Practice Committee of the Child Neurology Society. Neurology 63.12 (2004): 2215-2224.

Pringsheim, T., et al. "Prophylaxis of migraine headache." Canadian Medical Association Journal 182.7 (2010): E269-E276.


Medically Reviewed by a Doctor on 1/31/2014

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