title: Treatment of pediatric migraine in the emergency room.
abstract: Migraine constitutes a relatively common reason for pediatric emergency room visits. Given the paucity of randomized trials involving pediatric migraineurs in the emergency department setting compared with adults, recommendations for managing these children are largely extrapolated from adult migraine emergency room studies and trials involving outpatient home pediatric migraine therapy. We review current knowledge about pediatric migraineurs presenting at the emergency room and their management, and summarize the best evidence available to guide clinical decision-making.
authors.affiliation: Division of Child Neurology, Department of Neurology, University of California, San Francisco, San Francisco, California, USA. GelfandA@neuropeds.ucsf.edu
authors.forename: Amy A
authors.initials: AA
authors.lastname: Gelfand
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Goadsby
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D017668:Age of Onset; D000700:Analgesics / Q000627:therapeutic use; D000932:Antiemetics / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004087:Dihydroergotamine / Q000627:therapeutic use; D019468:Disease Management; D018492:Dopamine Antagonists / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004636:Emergency Service, Hospital; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D008787:Metoclopramide / Q000627:therapeutic use; D008881:Migraine Disorders / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology / Q000628:therapy; D009294:Narcotics / Q000627:therapeutic use; D059906:Neuroimaging; D015995:Prevalence; D017678:Sex Distribution; D014363:Tryptamines / Q000627:therapeutic use; D014635:Valproic Acid / Q000627:therapeutic use; D014839:Vomiting / Q000209:etiology
chemical_list: D000700:Analgesics; D000932:Antiemetics; D018492:Dopamine Antagonists; D009294:Narcotics; D014363:Tryptamines; D004087:Dihydroergotamine; D014635:Valproic Acid; D008787:Metoclopramide