Redbridge SERC

Migraine

Description

Migraine is a recurrent headache that occurs with or without aura and lasts in children from 30 minutes to 48 hours.

It is the most common cause of primary headache in children. It differs from migraine in adults and is likely to be underdiagnosed.

It is more common in boys than girls until after puberty, when it becomes more common in girls.

Migraine is widespread amongst children and young people with migraine affecting 2% of five year olds and 18% of 13-14 year olds.

Fact sheets

Training / Help

Further help and support can be obtained from your School Nurse or Local Children's Centre.

Videos

Screenshot for video: Migraine simulation video

Migraine simulation video

Migraine simulation video

Screenshot for video: Coping strategies

Coping strategies

How to cope with Migraines

Screenshot for video: Visual aura simulation

Visual aura simulation

Visual aura simulation

Learning Aids

Please offer me a seat badge

Please offer me a seat badge

Available from:

TfL have recently introduced a badge to help Adults and Children who may have difficulty standing/ waiting on all TfL transport. It is designed to be supportive for hidden disabilities and medical conditions. The badges are free- you do notneed…

Illustrations

Stickman Communication

Stickman Communication

Stickman Communications create brilliantly simple cards to help communicate a variety of conditions/ disabilities. They currently cover; * ASD * Sensory overload * Allergies  * Medical conditions  * Bowel and bladder conditions * Hypermobility and EDS * Migraine * Seizures * POTS /SVT * Visual impairment * Mental Health *…
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Source: http://stickmancommunications.co.uk/epages/747384.sf/en_GB/?ObjectPath=/Shops/747384/Categories/topics

Frequently Asked Questions

  • Can children get an aura before a Migraine?

    14-30% of migraine in children is of this variety. The aura may follow premonitory symptoms and may or may not be followed by headache. 

    • The aura may suggest cortical dysfunction (visual, sensory, motor, speech or language disturbance, cognitive impairment including confusion), or brainstem dysfunction (loss of consciousness, vertigo).
    • Children may find it difficult to describe the aura.
    • The aura is often more distressing than the headache in children.
    • Visual auras are the most common (blurred vision, fortification spectra, scotomata, micropsia, macropsia, dysmorphopsia, etc.).
    • Children who eventually develop migraine with aura usually present earlier than children experiencing migraine without aura.
  • What is Hemiplegic migraine?

    Hemiplegic migraine

    • A dramatic presentation.
    • Hemiplegia or hemiparesis may precede or accompany the less dramatic headache.
    • There is usually a family history.
  • What is abdominal migraine?
    • Abdominal migraine. This presents typically as recurrent bouts of generalised abdominal pain associated with nausea and vomiting but no headache, followed by sleep and recovery. Typical migraines may occur separately.
  • What is Basilar Migraine?

    Basilar migraine

    • Aura followed by dizziness, syncope and minimal headache.
    • Most often seen in adolescent girls.
  • What is the most common type of Migraine?

    Migraine without aura

     Most migraine (about 80%) is of this type.

    • Premonitory symptoms (changes in mood, appetite, thirst, arousal, etc.).
    • Headache lasting 30 minutes to 48 hours in children. This may be the only phase of which the patient is aware. In children the pain may be bilateral and is not always throbbing or pulsating in nature.
    • Accompanying symptoms occur and are prominent in children - such as, sensitivity to light (photophobia), sounds (phonophobia) and smells, gastrointestinal disturbance, tiredness, etc.
    • Postdromes (fatigue, depression).
  • What is Cyclical vomiting with migraine?
    • Cyclical vomiting with migraine (periodic syndrome). This is characterised by recurrent episodes of intense vomiting occurring often at night and with complete recovery in between attacks. Girls are more affected. Stress and dietary triggers may be identified. It typically begins in toddlers and resolves by adolescence.
  • What are the symptoms of Migraine in young children?
    • Preschool children with migraine may look ill with abdominal pain and vomiting relieved by sleep.
    • Preschool children may exhibit pain with changes in behaviour (irritability, crying, seeking out a darkened room).
    • 5-10 year-olds often have bilateral pain with abdominal cramps and vomiting. They usually sleep within an hour of onset.
    • Location and intensity of headache may alter within and between attacks.
    • Intensity and duration of headache increase with age and become more usually unilateral.
    • A family history is common in migraine patients.

Family Resources

Contact a family

Website: 
http://www.cafamily.org.uk/
Description

A UK wide charity providing advice, information and support to parents of all disabled children. 

Outreach Services

Newbridge Outreach Service

Phone: 
0208 503 8773
Email: 
.(JavaScript must be enabled to view this email address)
Website: 
http://www.redbridgeserc.org
Description

Newbridge Outreach Service provides support to pupils with a range of learning, medical and physical difficulties.

http://www.newbridge.redbridge.sch.uk/introduction2

  • physical disability
  • physical disability with associated learning/communication difficulties
  • dyspraxia and related specific learning difficulties
  • perceptual difficulties
  • fine and gross motor skill development
  • difficulties with handwriting and alternative forms of recording.

Support is provided by

  • providing assessments
  • setting targets for learning / writing individual programmes
  • modify curriculum content and delivery
  • identify and use specialist resources
  • helping to provide support and advice to parents
  • delivering INSET for all staff, other agencies and parents

Request for support should come from the school the pupil is attending or another Agency involved.