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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Pediatr. Jun 9, 2026; 15(2): 119843
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.119843
Pediatric migraine: Neurodevelopmental mechanisms, clinical phenotypes, and modern therapeutics
Mohammed Al-Beltagi
Mohammed Al-Beltagi, Department of Pediatrics, Faculty of Medicine, Tanta University, Tanta 31511, Algharbia, Egypt
Mohammed Al-Beltagi, Department of Pediatric, University Hospital, Arabian Gulf University‎, Manama 26671, Manama, Bahrain
Author contributions: Al-Beltagi M was responsible for conceptualizing and designing the review, conducting the extensive literature search and data acquisition, performing the analysis and interpretation of the integrated biological models, drafting the manuscript, critically revising the work for intellectual content, designing the clinical algorithms and tables, and providing final approval for the version to be published.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Mohammed Al-Beltagi, MD, PhD, Professor, Department of Pediatrics, Faculty of Medicine, Tanta University, No. 1 Hassan Radwan Street, Tanta 31511, Algharbia, Egypt. mbelrem@hotmail.com
Received: February 7, 2026
Revised: February 10, 2026
Accepted: February 27, 2026
Published online: June 9, 2026
Processing time: 95 Days and 13.1 Hours
Core Tip

Core Tip: Pediatric migraine is a common yet underrecognized neurodevelopmental disorder with age-specific clinical phenotypes, mechanisms, and treatment responses. Children are not “small adults”; migraine expression evolves with brain maturation, hormonal changes, and sensory processing, necessitating pediatric-specific diagnostic and therapeutic strategies. Early recognition of migraine equivalents, timely access to acute treatment, and avoidance of medication overuse are essential to prevent chronification. While traditional preventives offer limited efficacy, emerging mechanism-based therapies and neuromodulation devices are reshaping care. A multimodal, individualized approach integrating pharmacologic, behavioral, and educational interventions is critical to improving long-term outcomes.

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