The examination is normal in this case and frequency is stable, so this child does not meet criteria for neurologic imaging. Management should begin with a review of triggers and lifestyle practices to determine modifications. Keeping a regular sleep schedule including on the weekends, carrying a water bottle, avoiding caffeinated and sugared drinks, healthy diet, and using stress management and biofeedback techniques can control headaches. A headache calendar should be kept to describe accurate frequency, and severity. Regular exercise of 45 min at least three times in a week, will help to maintain healthy neurovascular function and should be on the to-do list. Daily preventive medications should be considered if headaches continue to occur more commonly than five times in a month, and co-exists with missing school days or social activities. Other comorbidities such as obesity, sleep difficulties, depression, or anxiety can determine the best preventive option for the patient. Acute treatment of migraine headache should include water intake (32 oz or more) and an accurate dose of NSAID s (e.g., ibuprofen 10 mg/kg) at the onset of symptoms. The combination of an antiemetic medication with triptans and NSAIDs are effective for prolonged refractory episodes. In order to avoid medication overuse headache, NSAIDs should be limited to 3 days in a week, and triptans to 2 days in a week. School arrangements may be necessary with teachers and nurses for medications and also other accommodations as using of resource room during the episodes.