Treatment of migraine in children and adolescents. The state of the art
DOI:
https://doi.org/10.48208/HeadacheMed.2023.30Palavras-chave:
Tratamento migrânea, Cefaleia pediátrica, Cefaleia em adolescentes, Crianças e adolescentesResumo
Introdução
Dores de cabeça e migrânea são comuns na população pediátrica, sendo um dos sintomas mais frequentes relatados na prática. Além disso, é uma condição consideravelmente incapacitante, que traz sobrecarga significativa e prejudica diversos aspectos da vida de uma criança ou adolescente, como saúde mental e física, funcionamento executivo, desempenho escolar. Crianças e adolescentes com migrânea apresentam maior risco de comorbidades psiquiátricas e dificuldades de ajustamento psicossocial, o que, por sua vez, compromete ainda mais o bom funcionamento do paciente.
Objetivo
O presente artigo fornece ao médico uma abordagem simples e baseada em evidências para o tratamento da enxaqueca nesta faixa etária.
Comentário
O tratamento da migrânea em crianças e adolescentes requer uma abordagem sistemática e minuciosa. Os médicos devem ter em mente o importante fardo que a enxaqueca traz à vida de uma criança, investigando e gerenciando adequadamente as comorbidades apresentadas. A educação do paciente e dos pais é uma parte significativa do tratamento. Além disso, os tratamentos não farmacológicos, como hábitos de vida saudáveis e intervenções comportamentais, também podem desempenhar papéis benéficos. Quando indicado tratamento preventivo, este deve ser adaptado considerando o perfil de efetividade e segurança do medicamento, bem como as comorbidades do paciente. A falta de evidências neste contexto não deve traduzir-se em falta de ação por parte do médico, uma vez que pode haver um ónus relevante associado. Portanto, o raciocínio do clínico perspicaz é de fundamental importância e pode influenciar positivamente os resultados.
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Copyright (c) 2023 Renato Arruda, Marco Antônio Arruda (Author)
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