What is migraine without aura?

Updated: Aug 15, 2019
  • Author: William C Robertson, Jr, MD; Chief Editor: Amy Kao, MD  more...
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Common migraines, which lack an aura, occur in 60-85% of migrainous children. In young children, the headache is more often bilateral, orbital, or frontotemporal, and the pain may radiate to the face, occiput, or neck. The pain is throbbing and/or pulsating in quality and of moderate to severe intensity. It is aggravated by physical activity and relieved by sleep. Common accompanying symptoms in children are severe gastrointestinal (GI) symptoms, irritability, and pallor with dark circles under the eyes.

Migraines without aura are associated with nausea, vomiting, or both and are frequently accompanied by sensitivity to light, sound, and movement. If untreated, these headaches can last up to 72 hours. In children, duration of head pain is often less than 4 hours, which is shorter than is typical for adult migraine.

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