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J Clin Outcomes Manage
2006 Feb;13(2):119-128
Migraines in children: diagnosis and treatment in primary care
Yonker ME
Program Audience Primary care physicians. Educational Needs Addressed Migraine is a common disorder in children that can cause significant disability, resulting in reduced school attendance and performance and reduced quality of life. Primary care physicians are the doctors most often asked to do the initial evaluation for headache patients. Migraine is largely a clinical diagnosis; imaging, electroencephalogram, and lumbar puncture are unlikely to be helpful in the diagnosis of this disorder in the majority of cases. There is a need for primary care physicians to know the approach to diagnosis and treatment of this disorder in order to improve quality of life and disability. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Know the International Classification of Headache Disorders clinical criteria for migraine 2. Know the differential diagnosis in a patient with recurrent headache and vomiting 3. Know how to take a thorough headache history 4. Describe the approach to the diagnostic workup 5. Describe the pharmacologic approaches to treating migraine in children
Case-Based Review, CME
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