Diolch. Migraine is a common, painful and debilitating condition that affects an estimated one in 10 children and young people. According to Brain Research UK, the working name of the Brain Research Trust, migraine is one of the most common neurological conditions. Whilst migraine has a significant impact on the lives of adults who live with it, its early impact on children and young people can be even more severe. 

It is a complex condition, with a wide variety of symptoms. For many people, the main feature is a painful headache. Other symptoms include disturbed vision; sensitivity to light, sounds, and smells; feeling sick; and vomiting. The symptoms will vary from person to person, and individuals may have different symptoms during different attacks. Attacks may differ in length and frequency also. Migraine attacks usually last between four and 72 hours. Migraines can have an enormous impact on work, family and social lives.

The cause of migraine isn't known, but it's believed to be a combination of genetic, environmental and lifestyle factors. According to US research, if a child has one parent with migraine, they have a 50 per cent chance of developing migraine headaches. This jumps to 75 per cent if both parents are affected. A family history of migraine is also linked to earlier onset of migraine episodes.

Migraine is the third most common disease in the world, behind dental decay and tension-type headache, with an estimated global prevalence of 14.7 per cent—around one in seven people. According to NHS England, approximately 10 million people in the UK live with migraine. Migraine affects three times as many women as men, with the higher rate being most likely hormonally driven. Research suggests that 3,000 migraine attacks occur every day for each million of the general population. This equates to over 190,000 migraine attacks every day in the UK. 

There are different treatments available for children with migraine, and the most suitable one will depend on their medical history, age and symptoms. Further, migraine is protected under the law. As such, if a child's migraine recurs over a period of a year and negatively impacts on their ability to carry out their normal day-to-day activities, they may be classed as disabled under the Equality Act 2010, putting an obligation on schools to make reasonable adjustments for a disabled child to ensure that they're not put at a major disadvantage. And if an affected child or young person does not have an individual healthcare plan, it may be necessary to discuss developing a plan that identifies their needs and to make suitable tailored adjustments for them.