Favorable outcome of early treatment of new onset child and adolescent migraine-implications for disease modification.

Prevention should be considered if: (1) the patient experiences three or more headache days per month with poor response to acute care medication, (2) the patient has three to four headache attacks per month that are incapacitating with much disability in spite of abortive therapy, (3) the patient has a history and headache diary that reveals a clear trend toward increasing headache frequency or use of acute care medication, (4) the patient has infrequent headache attacks with a profound aura and poor acute response to therapy [34, 39, 40]. * The traditional stratified care approach as well as more current multimechanistic strategy of treating the migraine attack should be first-line treatment in the young headache population and in adults with new onset migraine [41].

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