Can We Really Stop Pediatric Migraine?

Can We Really Stop Pediatric Migraine? Opinion EDITORIAL Using Network Meta-analysis to Remove the Guess Work Boris Zernikow, PhD, MD Pediatric primary headache is one of the leading health care thermore, the frequency of pediatric migraine attacks is ex- issues in high-income countries that is rising in prevalence. tremely variable; 50% of children have only 1 to 2 migraine at- tacks and 26% experience 5 or more attacks per month. Frequent headaches are strongly associated with a lower qual- ity of life and poorer academic performance and are a leading The cornerstone of headache treatment in children is pain cause of school absence. The education. This covers the difference between migraines and classification system of the In- tension-type headaches, the pathophysiology of the differ- Related article page 341 ternational Headache Society ent headache forms, the role of psychosocial factors that ag- provides a navigation system to phenomenologically diagnose gravate or reduce headache frequency, and the role of phar- migraines, tension-type headaches, and other primary head- macological treatment in migraine attacks. As most children aches (http://www.ihs-classification.org/_downloads/mixed/ with migraine also have tension-type headache and vice versa, International-Headache-Classification-III-ICHD-III-2013-Beta. it is important that they learn to distinguish between these 2 pdf); however, pediatric-specific factors have not been types of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Can We Really Stop Pediatric Migraine?

JAMA Pediatrics, Volume 174 (4) – Apr 10, 2020

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2019.5907
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Using Network Meta-analysis to Remove the Guess Work Boris Zernikow, PhD, MD Pediatric primary headache is one of the leading health care thermore, the frequency of pediatric migraine attacks is ex- issues in high-income countries that is rising in prevalence. tremely variable; 50% of children have only 1 to 2 migraine at- tacks and 26% experience 5 or more attacks per month. Frequent headaches are strongly associated with a lower qual- ity of life and poorer academic performance and are a leading The cornerstone of headache treatment in children is pain cause of school absence. The education. This covers the difference between migraines and classification system of the In- tension-type headaches, the pathophysiology of the differ- Related article page 341 ternational Headache Society ent headache forms, the role of psychosocial factors that ag- provides a navigation system to phenomenologically diagnose gravate or reduce headache frequency, and the role of phar- migraines, tension-type headaches, and other primary head- macological treatment in migraine attacks. As most children aches (http://www.ihs-classification.org/_downloads/mixed/ with migraine also have tension-type headache and vice versa, International-Headache-Classification-III-ICHD-III-2013-Beta. it is important that they learn to distinguish between these 2 pdf); however, pediatric-specific factors have not been types of

Journal

JAMA PediatricsAmerican Medical Association

Published: Apr 10, 2020

References

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