Migraine in Children
Abstract
Up to 1 in 10 children will develop migraines, and their symptoms may not resemble the migraines that their parents and other adults experience. Migraine is the most common recurring headache type that occurs in children. Children may be less able to describe the symptoms they are having in terms that adults understand. For example, children may be irritable, start vomiting, and hold their heads, without using the word “headache.” There may be frequent absences from school for stomach issues and not wanting to get up for school, without a clear description of pain. Abdominal pain is a common migraine symptom in children, not usually seen in adult migraineurs. Children with migraine often get complete relief of their migraine with sleep or by a single episode of vomiting. The criteria for migraine diagnosis, outlined by the most recent International Classification of Headache Disorders (3rd Ed. Beta version) states that children's migraines can have a duration of only 2 hours, unlike the adult migraine, which must last at least 4 hours. As with adult migraine, migraine attacks can last up to 3 days. Both children and adults need to have at least 5 attacks, meeting at least 2 of the following 4 criteria: one-sided (more often bilateral in children), pulsating or throbbing pain, moderate to severe intensity, and worsened by routine activity. In addition, migraines in both children and adults must have either light and sound sensitivity, or nausea or vomiting. In children, these…
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