This page has moved. Click here to view. Headache in ChildrenChronic or recurrent headaches occur 75% of children by 15 years. The neurogenic hypothesis proposes that cortical neuronal depression is followed by dilation and inflammation of the headache, head ache, headake. Clinical evaluation Headaches are characterized as isolated acute, recurrent acute, chronic nonprogressive, or chronic progressive. History should exclude renal, cardiac, sinus, or dental disease or previous head trauma. A social and Migraine Migraines may be associated with a preceding aura, which usually involves visual phenomena. The headache is usually unilateral or bilateral, recurrent, throbbing, and associated with nausea or vomiting. Photophobia or phonophobia is common. Characteristically, the headache is relieved by sleep or by Management of acute episodes Oral promethazine ( Phenergan), 1 mg/kg up to 25 mg, often results in sleep and is generally effective. Intramuscular chlorpromazine (Compazine),1 mg/kg, can be used for severe attacks. Simple analgesics, such as acetaminophen, ibuprofen, or naproxen, may be Sumatriptan (Imitrex), a selective 5-HT agonist, is an effective treatment for migraine. The subcutaneous dose of 6 mg is effective and safe in school-age children. Oral and intranasal sumatriptan spray are Intravenous dihydroergotamine mesylate (DHE) is often effective when used with metoclopramide. Metoclopramide
Migraine prophylaxis. Migraine may be precipitated by stress, certain foods, lack of sleep, hormonal changes during the menstrual cycle, alcohol, and oral contraceptives. Elimination of these factors may reduce the |