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Published on: June 2, 2014
Spectrum of migraine variants and beyond: The individual syndromes in children
Surya N Gupta1, Vikash S Gupta2, Nirali Borad3
1Section of Child Neurology, Women's and Children's Hospital, Charleston Area Medical Center, Charleston, WV, USA.
Insights
Pediatric migraine-related conditions, often presenting without headache, are frequently seen in emergency departments. This review aids in diagnosing these complex neurological syndromes in children.
Area of Science:
- Pediatric Neurology
- Neuroscience
- Clinical Diagnosis
Background:
- Migraine-related conditions are a common neurological issue in children, frequently leading to emergency department visits.
- These conditions present with acute symptoms other than typical headache or visual aura, often causing diagnostic delays.
Purpose of the Study:
- To describe the clinical characteristics of various migraine variants and related syndromes in children.
- To provide a differential diagnosis for these conditions.
- To assess the applicability of a previously proposed common clinical profile for aiding diagnosis.
Main Methods:
- Review of clinical characteristics of pediatric migraine variants and related conditions.
- Analysis of differential diagnostic considerations.
- Evaluation of a proposed common clinical profile for diagnostic utility.
Main Results:
- Detailed description of the clinical presentation of a spectrum of migraine-related conditions in children.
- Identification of key features for differentiating these syndromes from other neurological disorders.
- Exploration of the diagnostic utility of a common clinical profile.
Conclusions:
- Migraine-related conditions in children require specific diagnostic approaches due to atypical presentations.
- Understanding the clinical spectrum and differential diagnoses is crucial for timely and accurate diagnosis.
- The proposed common clinical profile may assist in the diagnosis of individual migraine-related syndromes.
Abstract:
"Migraine-related conditions" are probably the second most common condition after seizure encountered in pediatric neurology requiring frequent Emergency Department visits. Among migraines, migraine-related condition presents with an acute onset sign or symptom other than headache or visual aura of unknown etiology. A delay in diagnosis is a common occurrence. Previously, the authors proposed a common clinical profile and suggested that the future review should seek the applicability of the common profile in aid to clinical diagnosis of migraine-related individual syndromes. Authors describe the clinical characteristics and differential diagnosis of the spectrum of migraine variants and beyond in children.
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