What is the role of a headache diary in the treatment of migraine in children?

Updated: Jan 31, 2018
  • Author: William C Robertson, Jr, MD; Chief Editor: Amy Kao, MD  more...
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Answer

Answer

A headache diary can be used to record unique triggers and features of the attack. Unfortunately, even the most obsessive patients and parents cannot always identify specific triggers of migraine. Advise the patient to list possible precipitating factors that occurred in the 12 hours before the attack. Other important factors include the following:

  • Date and time of attack onset

  • Type and location of headache pain

  • Symptoms before headache

  • All food and drink consumed

  • Bedtime, wake time, and quality of sleep

  • Menstrual periods or female hormones

  • Activities before headache

  • Medications taken and their effects


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