ABSTRACT
Migraine is a common childhood disorder characterized by recurrent headaches. Most children with migraine are symptom free between episodic headache attacks. Headache frequency and severity increase over time for a subset of pediatric migraneurs. Chronic migraine headache, transformed migraine, chronic nonprogressive headache, and chronic daily headache probably represent a spectrum of migraine headache syndromes. As headaches increase in severity and=or frequency, patients and their families are likely to experience significant disability. The burden of chronic migraine not only includes severe head pain but also missed school and extracurricular activities, academic underachievement, depressed mood, and anxiety. This chapter will focus on therapeutic approaches to chronic headache syndromes; acute therapies are covered.
