Headache in the Pediatric Population: Focus on Migraine

Samantha L. Irwin, Kaitlin A. Greene, Sara J. Pavitt, Alexandra C. Ross

Research output: Contribution to journalArticlepeer-review


Pediatric headache is a common condition with significant impact on quality of life and ability to function in academic, social, and extracurricular activities. Most pediatric patients seen in primary care and neurology clinics with headache have primary headache disorders. Diagnosis is largely based on clinical history. Imaging is rarely needed in the absence of red flag features. Careful diagnosis is important to guide appropriate treatment. Treatment focuses on a biopsychosocial model integrating lifestyle, pharmacologic and nonpharmacologic treatment modalities. As few therapies are approved in the pediatric population, treatments are often used off-label based on evidence extrapolated from adult studies. Outcomes vary over time but are generally favorable when headache disorders are diagnosed promptly and managed in a multidisciplinary setting.

Original languageEnglish (US)
Pages (from-to)479-488
Number of pages10
JournalSeminars in Neurology
Issue number4
StatePublished - Nov 2 2022


  • cognitive behavioral therapy
  • episodic migraine
  • neuromodulation
  • pediatric headache
  • pediatric migraine

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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