Munson Health
 
Migraine -- Child

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by Montemayor MM
 

Symptoms

Migraines occur in phases that may include:

Aura

The most common aura is visual. The aura lasts about 15-30 minutes. It may produce the following sensations:
  • Flashing lights, spots, or zig zag lines
  • Temporary partial loss of vision
  • Speech difficulties
  • Weakness in an arm or leg
  • Numbness or tingling in the face and hands

The Migraine Headache

Migraine pain starts within an hour of the aura ending. Symptoms include:
  • A headache (usually on one side but may involve both sides) that often feels:
    • Moderate or severe in intensity
    • Throbbing or pulsating
    • More severe with movement
  • Nausea or vomiting
  • Sensitivity to light or sound
  • Lightheadedness or dizziness

A Post-Headache Period

Migraines usually last from 4-72 hours. They often go away with sleep. After the headache, your child may experience:
  • Trouble concentrating
  • Fatigue
  • Sore muscles
  • Irritability
  • Mood changes
 

Treatment

Migraine therapy aims to:
  • Prevent headaches
  • Reduce headache severity and frequency
  • Restore your child’s ability to function
  • Improve your child’s quality of life
Treatment options include:

Therapy

Therapy may also be used to reduce the length and frequency of migraine headaches. It may be used with or without medication and may include cognitive behavioral therapy, biofeedback, or relaxation methods.

Other Treatment During the Migraine

To help your child during a migraine:
  • Apply cold compresses to painful areas of your child’s head.
  • Have your child lie in a dark, quiet room.
  • Try applying constant gentle pressure to your child’s temples.
  • Try to help your child fall asleep.

Preventing Migraines

Keep a diary to understand what factors may trigger your child's migraines.
Some steps that may help prevent future migraines includes:
  • Have you or your child keep a diary. It will help identify what triggers migraines and what helps relieve them.
  • Maintain regular sleep patterns, even during the weekend or on vacation.
  • Learn stress management and relaxations techniques.
  • Do not skip meals.
  • Exercise regularly.
  • Foods are not proven to trigger migraine, but consider keeping track of what your child eats. Foods suspected by some to trigger migraine include:
    • Nuts and peanut butter
    • Beans (eg, lima, navy, pinto, and others)
    • Aged or cured meats
    • Aged cheese
    • Processed or canned meat
    • Caffeine (intake or withdrawal)
    • Canned soup
    • Buttermilk or sour cream
    • Meat tenderizer
    • Brewer's yeast
    • Avocados
    • Onions
    • Pickles
    • Red plums
    • Sauerkraut
    • Snow peas
    • Soy sauce
    • Anything with MSG (monosodium glutamate), tyramine, or nitrates
 

RESOURCES

American Headache Society
http://www.americanheadachesociety.org/

The National Migraine Association
http://www.migraines.org/

 

CANADIAN RESOURCES

The College of Family Physicians of Canada
http://www.cfpc.ca/

Health Canada
http://www.hc-sc.gc.ca

 

References


Headache in Children. National Headache Foundation website. Available at: http://www.headaches.org/education/Headache%5FTopic%5FSheets/Headache%5Fin%5FChildren . Accessed June 24, 2013.


Migraine in Children and Adolescents. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us . Updated April 22, 2013. Accessed June 24, 2013.


Migraines. American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/migraines.html . Accessed June 24, 2013.


8/27/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Robberstad L, Dyb G, Hagen K, Stovner LJ, Holmen TL, Zwart JA. An unfavorable lifestyle and recurrent headaches among adolescents: The HUNT Study. Neurology. 2010;75(8):712-717.


10/25/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Bruijn J, Locher H, Passchier J, Dijkstra N, Arts WF. Psychopathology in children and adolescents with migraine in clinical studies: a systematic review. Pediatrics. 2010;126(2):323-332.


1/2/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Powers SW, Kashikar-Zuck SM, et al. Cognitive behavioral therapy plus amitriptyline for chronic migraine in children and adolescents: a randomized clinical trial. JAMA. 2013 Dec 25;310(24):2622-30.


1/2/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Huquet A, McGrath PJ, et al. Efficacy of psychological treatment for headaches: an overview of systematic reviews and analysis of potential modifiers of treatment efficacy. Clin J Pain. 2013. Jul 2.

 

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