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Confusional migraine is an adult as well as a childhood disease


Gantenbein, A R; Riederer, F; Mathys, J; Biethahn, S; Gossrau, G; Waldvogel, D; Sándor, S (2011). Confusional migraine is an adult as well as a childhood disease. Cephalalgia, 31(2):206-212.

Abstract

Background: Acute confusional migraine (ACM) is considered a rare migraine variant primarily seen in children and adolescents.

Patients and Methods: We present a series of eight adults and two adolescents suffering from migraine attacks associated with transient confusional states.

Results: Eight patients reported two or more such attacks. One of them reported mild head trauma in the past. One patient reported mild head trauma as a possible trigger. Further investigations were unremarkable in all patients and did not suggest underlying structural abnormalities, epilepsy or cerebrovascular disease. In none of these patients did we find another cause to explain the observed phenomenon.

Conclusions: Based on this series of patients, we suggest expanding the concept of confusional migraine from the paediatric population to adults. The temporal course of the confusion as well as the association with visual and other aura symptoms suggest cortical spreading depression as the underlying pathophysiology.

Abstract

Background: Acute confusional migraine (ACM) is considered a rare migraine variant primarily seen in children and adolescents.

Patients and Methods: We present a series of eight adults and two adolescents suffering from migraine attacks associated with transient confusional states.

Results: Eight patients reported two or more such attacks. One of them reported mild head trauma in the past. One patient reported mild head trauma as a possible trigger. Further investigations were unremarkable in all patients and did not suggest underlying structural abnormalities, epilepsy or cerebrovascular disease. In none of these patients did we find another cause to explain the observed phenomenon.

Conclusions: Based on this series of patients, we suggest expanding the concept of confusional migraine from the paediatric population to adults. The temporal course of the confusion as well as the association with visual and other aura symptoms suggest cortical spreading depression as the underlying pathophysiology.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Confusional migraine, ACM, adults, cortical spreading depression, epilepsy
Language:English
Date:20 January 2011
Deposited On:21 Jul 2010 07:23
Last Modified:07 Dec 2017 03:00
Publisher:Sage Publications
ISSN:0333-1024
Publisher DOI:https://doi.org/10.1177/0333102410377361
PubMed ID:20647239

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