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Migraine Tx
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Abortives
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• Triptans (eg, sumatriptan)
• NSAIDs (eg, naproxen)
• Acetaminophen
• Antiemetics (eg, metoclopramide, prochlorperazine)
• Ergots (eg, dihydroergotamine)
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Preventatives
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• Topiramate
• Valporate
• TCA
• BB (eg, propranolol)
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A child w/ headache:
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Neurological sx:
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No neurological sx?
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· Any child who has headache and the presence of seizures, sudden
worsening of headache, change in character of headache, or abnormal
neurologic examination must receive an imaging study of the brain to rule out
a structural lesion.
· Headaches that are worse in the a.m. should suggest further investigation.
The posterior fossa may contain a mass lesion with minimal findings such as
ataxia.
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Behavior management or biofeedback and self-hypnosis would be the principal means of treating a child who has stress headaches.
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Fast HY Review 