Symptoms of childhood migraine headaches
- Migraine headaches in children are common (prevalence of 1% to 3% in 3- to 7-year-olds and almost 25% of adolescents).
- Fifty percent of all individuals who develop migraine had the onset of their attacks before 20 years of age.
- Boys are more frequently affected until puberty, after which time the incidence is considerably higher in girls.
- Younger children usually complain of a generalized, bifrontal, or bitemporal headache, rather than the hemicranial pain characteristically present in the older child or adult.
- Abdominal distress with nausea and sometimes vomiting is prominent.
- The child often appears pale and frequently stops all activities and lies down.
- Photophobia and phonophobia are usually present but may need to be inferred from behavior in younger children.
- If the child is able to fall asleep, the headache is usually gone upon awakening.
- Family history for migraine is positive in 70% to 90% of cases.
- Dravet C, Oguni H: Dravet syndrome (severe myoclonic epilepsy in infancy). Handb Clin Neuro 111:627-633, 2013.
- Kolkiran A, Tutar E, Atalay S, et al: Autonomic nervous system functions in children with breath-holding spells and effects of iron deficiency. Acta Paediatr 94:1227-1231, 2005.
- Maytal J, Young M, Shechter A, Lipton RB: Pediatric migraine and the International Headache Society Criteria. Neurology 48:602-607, 1997.