1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-1-06-a 10.15844/pedneurbriefs-1-1-11 Headache Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Self-Hypnosis Control of Migraine http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 06 1987 01 08 2016 1 1 6 6 Copyright: © 1987 The Author(s) 1987 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Comparison of self-hypnosis and propranolol in the treatment of juvenile classic migraine

In a prospective study at the Minneapolis Children’s Medical Center 28 children with classic migraine were treated with propranolol (3 mg/kg/d) or placebo for 3 months, using a cross over design, followed by an equal period of self-hypnosis.

 Classic Migraine Equal Period of Self-Hypnosis Standard Progressive Relaxation

In a prospective study at the Minneapolis Children’s Medical Center 28 children with classic migraine were treated with propranolol (3 mg/kg/d) or placebo for 3 months, using a cross over design, followed by an equal period of self-hypnosis. The mean number of headaches per child during placebo and propranolol periods were similar (13.3 and 14.9 respectively) and was significantly reduced (5.8) with self-hypnosis (P=.045), a standard progressive relaxation exercise. [1]

COMMENT: Non-pharmacological methods (biofeedback, self-hypnosis, dietary) of treatment of juvenile migraine are displacing the previously popular pharmacologic options eg propranolol and phenytoin. Phenytoin prophylactic treatment is attended by potential adverse toxicity and propranolol in controlled studies has been found ineffective [2]. At the Hospital for Sick Children, Great Ormond Street, London, an oligoantigenic dietary regime is preferred. [3]

Olness K MacDonald JT Uden DL Comparison of self-hypnosis and propranolol in the treatment of juvenile classic migraine Pediatrics 1987 Apr 79 4 593 7 3822681 Forsythe WI Gillies D Sills MA Propanolol (‘Inderal’) in the treatment of childhood migraine Dev Med Child Neurol 1984 Dec 26 6 737 41 10.1111/j.1469-8749.1984.tb08166.x 6519358 Egger J Carter CM Wilson J Turner MW Soothill JF Is migraine food allergy? A double-blind controlled trial of oligoantigenic diet treatment Lancet 1983 Oct 15 2 8355 865 9 10.1016/S0140-6736(83)90866-8 6137694