Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal University, Manipal, Karnataka 576104, India.
Saudi Pharm J. 2012 Jan;20(1):1-7. doi: 10.1016/j.jsps.2011.07.001. Epub 2011 Jul 20.
Migraine is one of the common causes of severe and recurring headache. It may be difficult to manage in primary care settings, where it is under diagnosed and medically treated. Migraine can occur in children as well as in adults and it is three times more common in women than in men. Migraine in children is different from adults in various ways. Migraine management depends on the various factors like duration and severity of pain, associated symptoms, degree of disability, and initial response to treatment. The therapy of children and adolescents with migraines includes treatment modalities for acute attacks, prophylactic medications when the attacks are frequent, and biobehavioural modes of treatment to aid long-term management of the disorder. The long lasting outcome of childhood headaches and progression into adult headaches remains largely unknown. However, it has been suggested that adult migraine may represent a progressive disorder. In children, the progressive nature is uncertain and further investigations into longitudinal outcome and phenotypic changes in childhood headaches have yet to be recognized. Even though paediatric and adult migraines seem to be slightly different from one another, but not enough to categorize either as sole.
偏头痛是严重且反复发作性头痛的常见原因之一。在初级保健环境中，偏头痛可能难以诊断和治疗，因为它在这些环境中常常被漏诊。偏头痛可发生于儿童和成人，其在女性中的发病率是男性的 3 倍。儿童偏头痛在多个方面与成人偏头痛不同。偏头痛的治疗取决于多种因素，如疼痛的持续时间和严重程度、相关症状、残疾程度以及对治疗的初始反应。儿童和青少年偏头痛的治疗包括急性发作的治疗方法、发作频繁时的预防性药物治疗，以及生物行为治疗模式，以帮助长期管理该疾病。儿童期头痛的长期后果和进展为成人期头痛的情况在很大程度上尚不清楚。然而，有研究表明，成人偏头痛可能代表一种进行性疾病。在儿童中，进行性的性质尚不确定，需要进一步研究儿童头痛的纵向结局和表型变化。尽管儿科和成人偏头痛彼此之间似乎略有不同，但还不足以将两者单独分类。
