Definition

  • Paediatric migraine is a chronic neurological disorder with a strong genetic component, characterised by episodic, moderate-to-severe attacks of headache, nausea, vomiting, and sensitivity to light and noise.
  • Functional impairment during attacks is common, with normal function returning between episodes.
  • Onset can occur at any time during childhood and adolescence.
  • According to the International Headache Society (IHS), migraine episodes last 2-72 hours, are unilateral or bilateral, have a gradual onset (15-30 minutes), pulsating quality, and moderate-to-severe intensity aggravated by routine physical activity.
  • Associated symptoms: nausea, vomiting, photophobia, phonophobia.
  • IHS criteria limitations: rely on patient descriptions; in children, many features are inferred from behaviour rather than direct reports.
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