PostScript

摘要

In their otherwise very comprehensive review of this subject in your October issue of Education and Practice,' Drs Barnes and Jayawant limit themselves to only two aspects of management in the prophylaxis of migraine: drug treatments, and psychological/behavioural therapy. While it may be difficult to find hard evidence for some of the environmental areas they omitted, some mention of avoidance of obvious trigger factors would surely have been in order. These may vary in importance from child to child, but hypoglycaemia/ hunger, lack of sleep, stress, vigorous exercise, and obvious dietary triggers can each be relevant in individual cases and therefore worthy of common sense advice.