Last reviewed: November 2017
Last updated: April  2017

Summary

Definition

History and exam

Key diagnostic factors

  • age >2 years
  • gradual onset of headache
  • normal physical examination

Other diagnostic factors

  • aura
  • nausea and/or vomiting
  • visual disturbance
  • phonophobia
  • occipital headache, ataxia, diplopia, blurred vision, vertigo, and tinnitus
  • unilateral motor or sensory signs and headache
  • ptosis
  • generalized seizure

Risk factors

  • positive FHx of migraine
  • chocolate, cheese, and citrus fruits
  • stress
  • hormonal changes
  • alcohol and caffeine
  • volume depletion
  • overuse of analgesics
  • sleep disturbance
  • bright or flickering lights
  • periodic syndromes

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant Paediatrician

Northampton General Hospital

Northampton

UK

Disclosures

NB declares that he has no competing interests.

Peer reviewers VIEW ALL

Medical Director

Mayo Clinic Pediatric Center

Rochester

MN

Disclosures

KM declares that he has no competing interests.

Consultant Paediatric Neurologist

John Radcliffe Hospital

Oxford

UK

Disclosures

TM declares that he has no competing interests.

Consultant Paediatric Neurologist

John Radcliffe Hospital

Oxford

UK

Disclosures

SJ declares that he has no competing interests.

Associate Professor

Co-Director Pediatric Headache Clinic

University of Maryland School of Medicine

Baltimore

MD

Disclosures

HSJ declares that he has no competing interests.

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