Recommendations for the Management of Migraine in Paediatric Patients: A Systemic Review
Osman Suliman *
Department of Clinical Sciences, Al-Rayan National College of Medicine, Al Rayan National Colleges, Al-Madinah, Saudi Arabia.
Jwaan Abutwaimah
Al-Rayan National College of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Ahmed Abutwaimah
Al-Rayan National College of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Mona Alhusayni
Al-Rayan National College of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Dania Albader
Al-Rayan National College of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Ahmed Abd Elmagid
Emergency Department, St. George’s University Hospital, Foundation Trust London, United Kingdom.
Riham Abd Elmagid
Faculty of Medicine, Helwan University, Cairo, Egypt.
Rana Abd Elmagid
Faculty of Medicine, Helwan University, Cairo, Egypt.
*Author to whom correspondence should be addressed.
Abstract
Background: Pediatric migraine is a prevalent neurological disorder affecting 8–15% of children and adolescents. Early recognition and effective management are essential for reducing disability.
Objective: To systematically review current evidence on the diagnosis, triggers, treatment, and multidisciplinary management of pediatric migraine.
Methods: A structured search of PubMed, Scopus, and Web of Science was conducted for studies published between 2000 and 2024. Inclusion criteria: peer-reviewed articles, pediatric population (<18 years), and studies on diagnosis or treatment of migraine. Exclusion: case reports, non-English articles, and studies on secondary headache disorders. The PRISMA 2020 checklist was used to guide reporting.
Results: A total of 57 studies met inclusion criteria. Pediatric migraine differs from adult migraine in its presentation, necessitating tailored diagnostic and therapeutic approaches. Non- pharmacological interventions, pharmacological treatments, and behavioral strategies all contribute significantly to management. Family involvement and multidisciplinary care improve outcomes.
Conclusion: Pediatric migraine requires a multifaceted approach combining lifestyle, behavioral, and pharmacological strategies. Evidence supports early intervention and coordinated care for improved long-term outcomes.
Keywords: Pediatric migraine, Headache management, on-pharmacological therapy Preventive treatment, Cognitive Behavioral Therapy (CBT)