Recommendations for the Management of Migraine in Paediatric Patients: A Systemic Review

Abstract

Background: Pediatric migraine is a prevalent neurological disorder affecting 8–15% of children and adolescents. Early recognition and effective management are essential for reducing disability. Objective: To systematically review current evidence on the diagnosis, triggers, treatment, and multidisciplinary management of pediatric migraine. Methods: A structured search of PubMed, Scopus, and Web of Science was conducted for studies published between 2000 and 2024. Inclusion criteria: peer-reviewed articles, pediatric population (<18 years), and studies on diagnosis or treatment of migraine. Exclusion: case reports, non-English articles, and studies on secondary headache disorders. The PRISMA 2020 checklist was used to guide reporting. Results: A total of 57 studies met inclusion criteria. Pediatric migraine differs from adult migraine in its presentation, necessitating tailored diagnostic and therapeutic approaches. Non- pharmacological interventions, pharmacological treatments, and behavioral strategies all contribute significantly to management. Family involvement and multidisciplinary care improve outcomes. Conclusion: Pediatric migraine requires a multifaceted approach combining lifestyle, behavioral, and pharmacological strategies. Evidence supports early intervention and coordinated care for improved long-term outcomes.