Article: PDF OnlyPEDIATRIC MIGRAINE HEADACHE DIAGNOSIS, EVALUATION, AND MANAGEMENTWasiewski, Warren W. MD; Rothner, A. David MD Author Information From the Department of Pediatric Neurology, Lancaster Health Alliance, LCMC Child Neurology Associates, Lancaster, Pennsylvania (W.W.W.) and Department of Pediatric Neurology, The Cleveland Clinic Foundation, Cleveland, Ohio (A.D.R.). The Neurologist: May 1999 - Volume 5 - Issue 3 - p 122-134 Buy Abstract BACKGROUND The diagnosis of migraine headache in children has been recognized since 1955; however, many children with migraine are given inappropriate diagnoses and are undertreated. Now that more appropriate diagnostic criteria have been published, the recognition of migraine in children should improve significantly, and appropriate treatment should be administered. With improved recognition, more accurate prevalence data can be obtained. REVIEW SUMMARY In this review, we discuss the diagnostic criteria for migraine with and without aura in children. We present a clinical review of migraine symptoms in children and review several migraine syndromes and migraine variants. We discuss acute and preventative therapy in detail. CONCLUSION Migraine headache in children is an easily recognized and treatable disorder. Appropriate episodic and preventive therapy can reduce the severity and frequency of headache. Whether treatment early in life alters the natural history of the disorder is not yet known; however, it clearly reduces the disease burden. © 1999 Lippincott Williams & Wilkins, Inc.