Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Headache frequency | |||||
RCT |
100 children aged 5–15 years with migraine headache, based on the 2nd edition on The International Classification of Headache Disorders (ICHD-II) criteria, and with frequent (at least 1 headache attack per week) or disabling headache (>20 on the PedMIDAS scale) |
Mean monthly headache frequency
after 3 months of treatment
8.8 with propranolol 4.1 with topiramate |
P = 0.001 |
Effect size not calculated | topiramate |
RCT |
86 children aged 3–15 years with migraine (defined by the 2004 International Headache Society [IHS] criteria) and >3 headaches per month, or severe disabling/intolerable headache |
Mean number of headaches
at 4 months' follow-up
1.8 with propranolol 2.3 with topiramate |
P = 0.643 |
Not significant | |
Headache duration | |||||
RCT |
100 children aged 5–15 years with migraine headache, based on the ICHD-II criteria, and with frequent (at least 1 headache attack per week) or disabling headache (>20 on the PedMIDAS scale) |
Mean headache duration
at 3 months
1.35 hours with propranolol 0.56 hours with topiramate |
P = 0.0001 |
Effect size not calculated | topiramate |
RCT |
86 children aged 3–15 years with migraine (defined by the 2004 IHS criteria) and >3 headaches per month, or severe disabling/intolerable headache |
Mean duration of headache attacks
at 4 months' follow-up
2.6 with propranolol 2.2 with topiramate |
P = 0.827 |
Not significant | |
Severity of headache | |||||
RCT |
100 children aged 5–15 years with migraine headache, based on the ICHD-II criteria, and with frequent (at least 1 headache attack per week) or disabling headache (>20 on the PedMIDAS scale) |
Severity of headache (mean visual analogue scale score [from 0 = no pain to 10 = severe pain])
at 3 months
4.2 with propranolol 2.8 with topiramate |
P = 0.0001 |
Effect size not calculated | topiramate |
RCT |
86 children aged 3–15 years with migraine (defined by the 2004 IHS criteria) and >3 headaches per month, or severe disabling/intolerable headache |
Proportion of children with headache severity affecting daily activities
at 4 months' follow-up
6/40 (15%) with propranolol 6/38 (16%) with topiramate |
Reported as not significant between groups at all follow-up visits P >0.05 |
Not significant |