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Child neurology: Migraine with aura in children

Amy A Gelfand1, Heather J Fullerton, Peter J Goadsby

  • 1Division of Child Neurology, UCSF Department of Neurology, Box 0114, 505 Parnassus Ave, M-798, San Francisco, CA 94143-0114, USA. GelfandA@neuropeds.ucsf.edu

Neurology
|August 4, 2010
PubMed

Insights

This review differentiates acute hemiparesis causes in children, including stroke, Todd paralysis, and hemiplegic migraine. It offers diagnostic and treatment strategies for childhood migraine with aura.

Area of Science:

  • Neurology
  • Pediatrics
  • Neuroscience

Background:

  • Acute hemiparesis in children presents a diagnostic challenge, with stroke, Todd paralysis, and hemiplegic migraine as key differential diagnoses.
  • Understanding the nuances of these conditions is crucial for accurate and timely diagnosis in pediatric patients.

Observation:

  • This review uses an illustrative case to highlight the distinct clinical presentations of acute hemiparesis in children.
  • It emphasizes the importance of a systematic diagnostic workup to differentiate between stroke, Todd paralysis, and hemiplegic migraine.

Findings:

  • The review details migraine with aura in children, including migraine equivalents like abdominal migraine.
  • It specifically addresses the unique presentation of hemiplegic migraine, a critical diagnosis to consider.

Implications:

  • Provides a framework for clinicians to approach the diagnosis of acute hemiparesis in pediatric cases.
  • Offers guidance on prophylactic and acute treatment strategies for children experiencing migraine with aura.

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