Migraine headache in children

International Classification of Headache Disorders, 3rd edition (ICHD-3)[1]Headache Classification Committee of the International Headache Society. The international classification of headache disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. https://www.ichd-3.org/wp-content/uploads/2018/01/The-International-Classification-of-Headache-Disorders-3rd-Edition-2018.pdf http://www.ncbi.nlm.nih.gov/pubmed/29368949?tool=bestpractice.com ​​

1.1 Migraine without aura

1. At least five attacks fulfilling criteria B to D

2. Headache attacks lasting 4-72 hours (in children and adolescents ages under 18 years, attacks may last 2-72 hours)

3. Headache with at least two of the following four characteristics:

   • Unilateral location

   • Pulsating quality

   • Moderate or severe pain intensity

   • Aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs)

4. During headache at least one of the following:

   • Nausea and/or vomiting

   • Photophobia and phonophobia

5. Not better accounted for by another ICHD-3 diagnosis.

1.2 Migraine with aura

1. At least two attacks fulfilling criteria B to D

2. One or more of the following fully reversible aura symptoms:

   • Visual

   • Sensory

   • Speech and/or language

   • Motor

   • Brainstem

   • Retinal

3. At least three of the following six characteristics:

   • At least one aura symptom spreads gradually over 5 minutes or more

   • Two or more aura symptoms occur in succession

   • Each individual aura symptom lasts 5-60 minutes

   • At least one aura symptom is unilateral

   • At least one aura symptom is positive

   • The aura is accompanied, or followed within 60 minutes, by headache

4. Not better accounted for by another ICHD-3 diagnosis.

1.3 Chronic migraine

1. Headache (migraine-like or tension-type-like) on 15 days/month for >3 months, and fulfilling criteria B and C

2. Occurring in a patient who has had at least five attacks fulfilling criteria B to D for 1.1 Migraine without aura and/or criteria B and C for 1.2 Migraine with aura

3. On 8 days/month for >3 months, fulfilling any of the following:

   • Criteria C and D for 1.1 Migraine without aura

   • Criteria B and C for 1.2 Migraine with aura

   • Believed by the patient to be migraine at onset and relieved by a triptan or ergot derivative

4. Not better accounted for by another ICHD-3 diagnosis.