Pediatric headache.
Migraine is very treatable in children and adolescents. Principles of treatment include early intervention, elimination of triggers, involvement of parents and schools, and judicious use of medicines. Although there is no pediatric indication in the United States, triptans are safe and effective in this age group. Prophylactic drugs should be used when significant disability from migraine exists. Choice of drug is based upon comorbidity. Nonpharmacologic treatment has an important role.
Gladstein
Jack
J
Department of Pediatrics and Neurology, Pediatric Headache Clinic, University of Maryland School of Medicine, 22 South Greene Street, Room N5W69, Baltimore, MD 21201, USA. jgladstein@peds.umaryland.edu.