Best Practice Migraine

Correspondence to: Dr Sandeep Jayawant, Department of Paediatrics, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK; sandeep.jayawant@ orh.nhs.uk _________________________ H eadaches in children are common, with around 70% of school children experiencing at least one per year and 25% more frequently. They are a cause of considerable morbidity, with school absence and academic underachievement common sequelae in older children. Studies from developed countries indicate that migraine is the most common diagnosis among children with headache who present to a medical practitioner. This article focuses on the diagnosis, epidemiology, differential diagnosis, and management of migraine, and includes a review of the evidence base for currently used treatment.