Migraine in Children: Preventive Pharmacologic Treatments Executive Summary
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چکیده
According to the International Classification of Headache Disorders, second edition (ICHD-II), migraine is a common disabling primary headache disorder manifesting in attacks that last from 4 to 72 hours.1,2 Migraine headaches range from moderate to very severe3 and are sometimes debilitating.4 In the United States, episodic migraine affects 5 percent of boys5,6 and 7.7 percent of girls.7,8 According to the American Migraine Prevalence and Prevention Study (a large national cohort study), childhood migraine is more prevalent in lower income families, and adolescent migraine is more prevalent in whites than in African Americans.7
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Migraine in Adults: Preventive Pharmacologic Treatments Executive Summary
Migraine frequency is divided into episodic and chronic.2 Episodic migraine is characterized by <15 migraine days and chronic migraine by ≥15 headache days per month. Sometimes migraine may be described as chronic simply because the attacks recur over long periods of time. Chronic migraine affects 1.4 to 2.2 percent of adults.9 All migraine types significantly affect the physical, psychological...
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OBJECTIVE To assess the rates and predictors of traversing steps essential to good medical care for chronic migraine, including: (1) medical consultation, (2) accurate diagnosis, and (3) minimal pharmacologic treatment. Candidate predictors included socioeconomic, demographic, and headache-specific variables. BACKGROUND Previous research has established that barriers to effective management f...
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The authors conducted a systematic literature review of preventive pharmacological treatments for episodic childhood migraines searching several databases through May 20, 2012. Episodic migraine prevention was examined in 24 publications of randomized controlled trials that enrolled 1578 children in 16 nonrandomized studies. Single randomized controlled trials provided low-strength evidence tha...
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Objective: To review evidence on the pharmacologic treatment of the child with migraine headache. Methods: The authors reviewed, abstracted, and classified relevant literature. Recommendations were based on a four-tiered scheme of evidence classification. Treatment options were separated into medications for acute headache and preventive medications. Results: The authors identified and reviewed...
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QUESTION The rate of migraine diagnosed among children is increasing. Is riboflavin, an alternative to traditional pharmacologic agents, effective and safe for prevention of migraine in children? ANSWER Because migraine is a very common condition in childhood and adolescence, often contributing to substantial burden of illness, there is increased interest in alternatives to traditional pharma...
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