Paediatrics clinic

Migraine in children and adolescents

Paediatrics clinic

Migraine in children and adolescents

MICHELLE LORENTZOS

Figures

© westwindgraphics/ stock.adobe.com
© westwindgraphics/ stock.adobe.com

Abstract

Managing chronic headache in children and adolescents can be challenging because of the wide range of differential diagnoses and often high levels of parental anxiety about the cause. A thorough history and awareness of red flags will aid with accurate diagnosis, while effective family counselling and a systematic approach to management enable the best outcomes.

Article Extract

Chronic headache is a common presentation in children, and as many as 30% of adolescents experience recurrent headache.1 It can be a challenging presentation because the yield of investigations is often low, while patient and parental anxiety about aetiology may be extremely high. Rare anecdotes of the child who complained of a headache and was ultimately found to have a brain tumour cause understandable and persistent concerns for many parents.