What is pediatric migraine headache?

Updated: Jan 02, 2019
  • Author: J Ivan Lopez, MD, FAAN, FAHS; Chief Editor: George I Jallo, MD  more...
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Migraine headaches account for most primary childhood headaches. More than 90% of patients who present to a neurologist complaining of headache are estimated to have a migraine (Rothrock, personal communication, 2006). Migraine can be divided into 2 groups: migraine with aura, and migraine without aura. (See Presentation.) [2]

Pediatric migraines are often bilateral, and clear localization of the pain can be difficult to obtain from children. Migraines in children are often of shorter duration than they are in adults. Migraine with aura is seen in 14-30% of children with migraine.

Migraine variants are headaches that are accompanied or manifested by transient neurologic symptoms. These symptoms may occur immediately before, during, or after the headache. In some situations, the headache may be mild or nonexistent.

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