Table 1

Primary headache in children under 5 years old8 10 11

Tension-type headacheMigraine
SeverityMild
Can continue normal activities
Severe
Lies in darkened room/sleeps
Duration30 min (or less)–7 days1 h (or less)–72 h
QualityTight bandPulsatile (often not described in young children)
SiteAll over/bilateralUnilateral or bilateral
Associated factorsNonePhotophobia, phonophobia (infer from behaviour)
Nausea, vomiting
Aura (uncommon)