Management of migraine in children and adolescents: A systematic review of guidelines and practice recommendations - PubMed
5 days ago
- #pediatrics
- #clinical-guidelines
- #migraine-management
- Systematic review of guidelines for migraine management in children and adolescents.
- Identifies consensus on using International Classification of Headache Disorders-3rd edition for diagnosis.
- First-line acute treatments include paracetamol and ibuprofen; second-line includes sumatriptan and zolmitriptan nasal sprays.
- Variability noted in targeted age groups, dosing, and preventive treatment choices.
- Non-pharmacological measures are emphasized across guidelines.
- Gaps identified include lack of focus on injectable acute medications, CGRP antagonists, and non-invasive neuromodulation techniques.
- Guidelines reviewed from AAN, EHF/EAN, IHS, NICE, Danish Headache Society, and German societies.