skip to main content

Migraine without aura — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

EasyNeurologyMigraine without auraRACP Paediatrics

A 9-year-old presents with recurrent episodes of severe unilateral throbbing headache lasting 4-6 hours associated with nausea, vomiting, and photophobia. The child prefers to lie in a dark room. Between episodes she is well. There is a family history of migraine. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Migraine without aura

Recurrent episodes of moderate-severe unilateral throbbing headache lasting 2-72 hours with nausea/vomiting and photophobia/phonophobia, with normal interictal function, meets ICHD-3 criteria for migraine without aura. Note: in children, migraine is more often bilateral (frontotemporal) than in adults.

Reference: RCH Melbourne – 2023 – Headache CPG; RACP Paediatric Curriculum – Neurology