Conflict of Interest: The authors have no financial disclosures or conflicts of interest.
Pediatric Migraine: Abortive Management in the Emergency Department
Article first published online: 29 OCT 2013
© 2013 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 54, Issue 2, pages 235–245, February 2014
How to Cite
Sheridan, D. C., Spiro, D. M. and Meckler, G. D. (2014), Pediatric Migraine: Abortive Management in the Emergency Department. Headache: The Journal of Head and Face Pain, 54: 235–245. doi: 10.1111/head.12253
- Issue published online: 10 FEB 2014
- Article first published online: 29 OCT 2013
- Manuscript Accepted: 9 SEP 2013
- emergency department;
Studies suggest that headache accounts for approximately 1% of pediatric emergency department (ED) visits. ED physicians must distinguish between primary headaches, such as a tension or migraine, and secondary headaches caused by systemic disease including neoplasm, infection, or intracranial hemorrhage. A recent study found that 40% of children presenting to the ED with headache were diagnosed with a primary headache, and 75% of these were migraine. Once the diagnosis of migraine has been made, the ED physician is faced with the challenge of determining appropriate abortive treatment. This review summarizes the most recent literature on pediatric migraine with an emphasis on diagnosis and abortive treatment in the ED.