Pediatria pre prax 3/2008

MIGRAINE IN CHILDHOOD

Migraine is severe, throbbing, episodic or periodic headache often associated with autonomic dysfunction. According to International Classification of Headache Disorders diagnostic criteria have been developed and have been adapted for children and adolescents (International Headache Society 2004). In children, migraine has some specific differences – the headaches are often bilateral, localization is difficult to determine. Aura is less frequent, mostly visual. Relief is typically associated with sleep. The initial physician evaluation focuses on excluding other serious medical conditions. Treatment consists of identifying trigger factors in the environment, providing acute pain relief, and considering prophylaxis.

Keywords: headache, aura, autonomic dysfunction, triptans, prophylaxis