Migraine can be recognized with its episodic quality with at least two of the following-
Photophobia or phonophobia – worsening of headache with light or sound and/or preference for dark and silent surroundings during headache.
Nausea and/or vomiting during some of the headache episodes
Fronto-temporal location of headaches with pulsatile/ hammering quality
Family history of similar headaches (a careful history is needed as parents usually deny significant headaches). Migraines are usually associated with child avoiding daily activity like playing, watching TV etc during the headache period.
Aura is observed occasionally in children with migraine .The aura’s can be visual, auditory, vestibular and very rarely a motor deficit.