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Question: Migraines
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Kelly September 22, 2020 - 1:55 pm
B) Unlike adults, in children the headache is more often bifrontal or bitemporal rather than unilateral
Migraine headaches occurs not uncommonly in children, and may even occur in infants. Prevalence is as high as 5% by age 10 years. Like adults, children may have premontory auras, but their headaches tend to be bilateral more often than adults’ migraines. Diagnosis is clinical, and physical exam, including neurologic exam, should be normal. Neuroimaging is only indicated if there are red flag symptoms of concern for a more serious diagnosis. ED medical management in children does not differ significantly from in adults, and includes use of such medications as ibuprofen, acetaminophen, IV fluids, prochlorperazine, ketorolac, diphenhydramine, and sometimes sumatriptan, metoclopramide, and dihydroergotamine.