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[Hemiplegic migraine. A series of 5 patients]
C Capodieci1, A Guala, G Licardi
1Divisione di Pediatria, Ospedale Civile, Vigevano.
Abstract:
We describe the occurrence of five pediatric patients presenting an aura encompassing neurovegetative and unilateral neurological manifestations persisting during and after the migrainous attack are described. All investigations were normal and the symptoms completely disappeared within 24-48 hours with non specific treatment. A diagnosis of hemiplegic migraine was made. The importance is underlined for the pediatrician to consider migraine in the differential diagnosis of a child first presenting with neurological symptoms even without symptoms of migraine.
Insights
Pediatric hemiplegic migraine can present with neurological symptoms mimicking other conditions. Early consideration of migraine is crucial for accurate diagnosis and management in children.
Area of Science:
- Neurology
- Pediatrics
Background:
- Migraine is a common neurological disorder.
- Pediatric migraine presentations can be diverse.
Observation:
- Five pediatric patients experienced aura with neurovegetative and unilateral neurological symptoms.
- Symptoms persisted during and after migrainous attacks.
- All investigations were normal.
Findings:
- Symptoms resolved within 24-48 hours with non-specific treatment.
- Diagnosis of hemiplegic migraine was established.
- Neurological symptoms in children may indicate migraine even without typical migraine features.
Implications:
- Pediatricians should include migraine in the differential diagnosis for children with new-onset neurological symptoms.
- This broadens the understanding of pediatric migraine manifestations.
- Highlights the importance of considering migraine in undiagnosed neurological presentations in children.