Background: Migraine headache is a common pediatric disorder frequently leading to hospital admission. Inpatient migraine headache treatment involves increasingly complex treatments, including fluid resuscitation and a variety of medications and therapies. Our previous study(1) has shown that the cost of inpatient treatment for pediatric migraine headache is increasing at a higher rate than reported overall [...]

Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves ever-increasingly complex treatment plans, including fluid resuscitation and a variety of medications. Severe Migraine headache may require more aggressive therapy such as dihydroergotamine (DHE) and sphenopalatine ganglion (SPG) block that may prolong hospital stay and increase [...]

Background: Migraine headache (MHA) is a common pediatric illness with up to 75% of children experiencing an episode by the age of 15. Up to 58% of adult MHA patients have a psychiatric comorbidity (PC), but the percentage of children with MHA and PC is unknown. At Phoenix Children’s Hospital (PCH), migraine is one of [...]

Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves various medications, including a combination of fluids, antiemetics, non-steroidal anti-inflammatory drugs, steroids, and anti-convulsants. Severe or recalcitrant headache may require more aggressive therapies, including dihydroergotamine (DHE). Opiates are not recommended in the treatment of MHA; however [...]

Case Presentation: A 23-year-old male with a history of migraines and a renal transplant presented to the ED with diffuse headaches and photophobia. He was treated with Ganciclovir and Doxycycline for positive HHV6 and Lyme disease, respectively. His MRI was negative for intracranial abnormalities but, CSF showed elevated protein and glucose. A repeat LP a [...]

Case Presentation: A 26-year-old female with PMH migraines presented to the ED with a 3-day history of headaches unlike her migraine headache. The headache was located in the occipital region, pressure-like, not alleviated by acetaminophen, and was associated with blurred vision, left ear throbbing, and neck pain. She also reported recent head trauma. She denied [...]