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

IF 1.7 Q2 PEDIATRICS
Pediatric health, medicine and therapeutics Pub Date : 2022-09-09 eCollection Date: 2022-01-01 DOI:10.2147/PHMT.S334744
Robert C Gibler, Kaelynn E Knestrick, Brooke L Reidy, Daniel N Lax, Scott W Powers
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引用次数: 3

Abstract

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.

儿童和青少年慢性偏头痛的管理:2022年我们在哪里?
偏头痛是一种影响全世界数百万儿童和青少年的神经系统疾病。慢性偏头痛是偏头痛的一种亚型,患者每个月头痛的天数多于不头痛的天数,大多数头痛伴有声音恐惧症、畏光症、恶心或呕吐等症状。慢性偏头痛在儿童和青少年日常生活中的负担和影响是巨大的,需要一个整体的、多学科的、生物心理社会的方法来概念化和治疗。本综述的目的是为青年慢性偏头痛的急性和预防性治疗提供一个全面的“2022”概述。我们首先描述慢性偏头痛的诊断标准,并强调儿童和青少年急性和预防性治疗的证据状态。然后,我们讨论了目前正在接受严格临床研究努力的新兴治疗方法,对儿童和青少年慢性偏头痛治疗的特殊考虑,以及改进现有治疗方法和扩大循证治疗的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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