Pediatric Migraine

Which of the following symptoms are most helpful in distinguishing migraine from tension-type headache (choose the correct set)?

A. Bifrontal head pain, Moderate level of pain, Light and sound sensitivity

B. Bifrontal head pain, Moderate level of pain

C. Light and sound sensitivity, Nausea or vomiting, Worsened by physical activity

D. Moderate level of pain, Nausea or vomiting

E. Worsened by physical activity

According to the 2019 American Academy of Neurology/American Headache Society Guidelines for Prevention of Migraine in Children and Adolescents, which of the following medications are recommended for the prevention of migraine in (choose the correct set)?

A. Verapamil, Amitriptyline + cognitive behavior therapy (CBT)

B. Propranolol, Verapamil

C. Propranolol, Verapamil, Amitriptyline + cognitive behavior therapy (CBT)

D. Propranolol, Topiramate, Amitriptyline + cognitive behavior therapy (CBT)

E. Valproate, Amitriptyline + cognitive behavior therapy (CBT)

Which of the following statements is true about the acute treatment of migraine in adolescents (choose the correct set)?

A. A second dose of a triptan may be given within 2-24 hours if a migraine attack returns; A triptan medication should be given early, while the headache intensity is still mild or moderate

B. A triptan medication should be given early, while the headache intensity is still mild or moderate

C. A triptan medication should be given early, while the headache intensity is still mild or moderate; Avoid giving triptans together with an anti-emetic

D. Avoid giving triptans together with an NSAID

Which of the following historical factors should prompt neuroimaging and/or referral to a pediatric neurologist or headache specialist (choose the correct set)?

A. Focal neurological deficits during or between attacks, Symptoms of increased intracranial pressure

B. Symptoms of increased intracranial pressure, Abnormal neurological assessment

C. Focal neurological deficits during or between attacks, Symptoms of increased intracranial pressure, Abnormal neurological assessment

D. Focal neurological deficits during or between attacks, Symptoms of increased intracranial pressure, Abnormal neurological assessment, Significant change in headache pattern

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