Migraine/Headaches

Question 1

Most common cause of primary headache in children

Answer 1

Migraine without aura

Question 2

Acute management of migraine in children

Answer 2

Ibuprofen more effective than paracetamol for paediatric migraine

Triptans may be used in children >12 but follow-up is required

Sumatriptan nasal spray has proven efficacy but poorly tolerated by young children due to taste

Oral triptans not currently licensed in people <18

Side effects include tingling, heat and heaviness/pressure sensations

Question 3

Prophylaxis of migraine in children

Answer 3

Pizotifen and propanolol used as first line preventatives

Valproate, topiramate and amitryptilline second line