Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?

Robert C Gibler,1 Kaelynn E Knestrick,1 Brooke L Reidy,1,2 Daniel N Lax,3,4 Scott W Powers1,2,4 1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA; 2Department of Pediatrics, University of Cincinnati College of Medicine, Cinci...

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Main Authors: Gibler RC, Knestrick KE, Reidy BL, Lax DN, Powers SW
Format: Article
Language:English
Published: Dove Medical Press 2022-09-01
Series:Pediatric Health, Medicine and Therapeutics
Subjects:
Online Access:https://www.dovepress.com/management-of-chronic-migraine-in-children-and-adolescents-where-are-w-peer-reviewed-fulltext-article-PHMT
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author Gibler RC
Knestrick KE
Reidy BL
Lax DN
Powers SW
author_facet Gibler RC
Knestrick KE
Reidy BL
Lax DN
Powers SW
author_sort Gibler RC
collection DOAJ
description Robert C Gibler,1 Kaelynn E Knestrick,1 Brooke L Reidy,1,2 Daniel N Lax,3,4 Scott W Powers1,2,4 1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA; 2Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; 3Division of Neurology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA; 4Headache Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USACorrespondence: Robert C Gibler, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA, Email Robert.Gibler@cchmc.orgAbstract: Migraine is a neurological disorder that affects millions of children and adolescents worldwide. Chronic migraine is a subtype of migraine in which patients experience headaches for more days than not each month, with accompanying symptoms of phonophobia, photophobia, nausea or vomiting for most of these headaches. The burden and impact of chronic migraine in the daily lives of children and adolescents is substantial, requiring a holistic, multidisciplinary, and biopsychosocial approach to conceptualization and treatment. The purpose of this review is to provide a comprehensive “ 2022” overview of acute and preventive treatments for the management of chronic migraine in youth. We first describe diagnostic criteria for chronic migraine and highlight the state of evidence for acute and preventive treatment in children and adolescents. We then discuss emerging treatments currently receiving rigorous clinical research effort, special considerations for the treatment of chronic migraine in children and adolescents, and avenues for improving existing treatments and expanding access to evidence-based care.Keywords: chronic migraine, migraine, headache, children, adolescents, pediatrics
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spelling doaj.art-3275f604c377456abf70008e2f8804362022-12-22T03:47:43ZengDove Medical PressPediatric Health, Medicine and Therapeutics1179-99272022-09-01Volume 1330932378114Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?Gibler RCKnestrick KEReidy BLLax DNPowers SWRobert C Gibler,1 Kaelynn E Knestrick,1 Brooke L Reidy,1,2 Daniel N Lax,3,4 Scott W Powers1,2,4 1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA; 2Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; 3Division of Neurology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA; 4Headache Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USACorrespondence: Robert C Gibler, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA, Email Robert.Gibler@cchmc.orgAbstract: Migraine is a neurological disorder that affects millions of children and adolescents worldwide. Chronic migraine is a subtype of migraine in which patients experience headaches for more days than not each month, with accompanying symptoms of phonophobia, photophobia, nausea or vomiting for most of these headaches. The burden and impact of chronic migraine in the daily lives of children and adolescents is substantial, requiring a holistic, multidisciplinary, and biopsychosocial approach to conceptualization and treatment. The purpose of this review is to provide a comprehensive “ 2022” overview of acute and preventive treatments for the management of chronic migraine in youth. We first describe diagnostic criteria for chronic migraine and highlight the state of evidence for acute and preventive treatment in children and adolescents. We then discuss emerging treatments currently receiving rigorous clinical research effort, special considerations for the treatment of chronic migraine in children and adolescents, and avenues for improving existing treatments and expanding access to evidence-based care.Keywords: chronic migraine, migraine, headache, children, adolescents, pediatricshttps://www.dovepress.com/management-of-chronic-migraine-in-children-and-adolescents-where-are-w-peer-reviewed-fulltext-article-PHMTchronic migrainemigraineheadachechildrenadolescentspediatrics
spellingShingle Gibler RC
Knestrick KE
Reidy BL
Lax DN
Powers SW
Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?
Pediatric Health, Medicine and Therapeutics
chronic migraine
migraine
headache
children
adolescents
pediatrics
title Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?
title_full Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?
title_fullStr Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?
title_full_unstemmed Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?
title_short Management of Chronic Migraine in Children and Adolescents: Where are We in 2022?
title_sort management of chronic migraine in children and adolescents where are we in 2022
topic chronic migraine
migraine
headache
children
adolescents
pediatrics
url https://www.dovepress.com/management-of-chronic-migraine-in-children-and-adolescents-where-are-w-peer-reviewed-fulltext-article-PHMT
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AT laxdn managementofchronicmigraineinchildrenandadolescentswherearewein2022
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