[Migraine in children and adolescents-brain and muscle? : Another example of why children are not small adults]

Nervenarzt. 2017 Dec;88(12):1402-1410. doi: 10.1007/s00115-017-0428-6.
[Article in German]

Abstract

Migraine as primary headache is a life-long disease which is relevant for the quality of life and is based on complex genetics. It often starts in childhood with symptoms typical for the specific age. These show different nuances compared to the migraine symptoms in adults, for example, regarding (bilateral/unilateral) localization of the acute migraine headache. Only over the course of years-during adolescence and young adulthood-do the more specific symptoms as defined by the International Classification of Headache Disorders (ICHD 3 beta) develop. In this article we focus on the clinical specifics of children and adolescents with migraine. We elaborately refer to the trigeminocervical complex (TCC) because it forms a conceptual bridge for the understanding of migraine, for psychoeducation, and for therapeutic options. We pragmatically discuss options and limits of treatments.

Keywords: Combined modality therapy; Migraine, drug therapy; Psychosocial factors; Transcranial magnetic stimulation; Trigeminocervical complex.

Publication types

  • Review

MeSH terms

  • Analgesics / therapeutic use
  • Combined Modality Therapy
  • Craniocerebral Trauma / complications
  • Craniocerebral Trauma / physiopathology
  • Diagnosis, Differential
  • Humans
  • Migraine Disorders / diagnosis*
  • Migraine Disorders / genetics
  • Migraine Disorders / physiopathology*
  • Migraine Disorders / therapy
  • Neck Muscles / physiopathology*
  • Risk Factors
  • Transcranial Magnetic Stimulation
  • Trigeminal Nerve / physiopathology

Substances

  • Analgesics