In children , migraine can be showed manifestations in several forms, migraine without aura (common migraine ) , migraine with aura ( classic migraine ) , and periodic syndrome which is a precursor of migraine in adolescents migren.8 will settle in 41.8 % of cases , experience remission in 38.2 % of cases and turn into TTH in 20 % of cases .
Migraine without aura
Is a type of migraine is most commonly found . His trademark is a headache with symptom -free intervals . Headache was throbbing , which is sometimes difficult to explain to a child . Migraines accompanied by autonomic symptoms such as nausea and vomiting , and aggravated by physical activity . Symptoms of nausea and vomiting have also caused significant disruption activity .
For a child has made modifications to the diagnostic criteria , namely : between 1-72 hours long attack , the location of bilateral or bifrontal at age less than 15 years with a record of when the occipital location to look for other possible causes , and the presence of photophobia and phonophobia were seen with changes in behavior , for example go into a dark room and sepi.Adanya provisions " not caused by something else " suggests that other diagnoses must be ruled out .
Migraine with aura
Aura symptoms caused depolarization of neurons in one place and oligaemia accordance with the theory of cortical spreading depression . Visual aura is a disorder that is often found with bilateral visual acuity scotoma ( 77 % ) , distortion or hallucinations ( 16 % ) and impaired vision monocular or scotoma ( 7 % ) .
Abdominal migraines
This situation may be common, but rarely diagnosed . Can be regarded as a refusal to go to school . The key is to know him repeating patterns , and get rid of gastrointestinal and renal diseases .
Therapy on Migraines
The goal of management is a long-term comprehensive management to reduce the frequency , weight and length of the attack ; provide the best therapy ; prevent excessive treatment , and improving the quality of life of patients .
Drug therapy in migraine can be divided into therapies to treat acute attacks and prophylactic therapy to prevent attacks . Many drugs can be used in adults has not been granted permission for use in children so that their use is still off - label . In addition , the many known migraine complementary and alternative therapies , such as psychological interventions , lifestyle changes , relaxation , bio - feedback , diet and others.
Therapy of acute migraine attacksThe goal of acute treatment is to eliminate pain and other symptoms quickly and effectively so that patients can return to work . Drugs should be given when the patient begins to feel any symptoms . When symptoms of migraine has reached its peak , the treatment becomes very difficult . Mild attacks only require one kind of analgesics while heavy attacks require combination therapy .
This article is taken from the website: INDONESIA Pediatric Association (idai.or.id). thank you
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