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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Abdominal migraines: Variations in diagnosis and care between pediatric gastroenterologists and neurologists

Kathryn Hawa1, Shivani Gupta1, Miguel Saps2

  • 1Nationwide children's Hospital, columbus, Ohio, USA.

Revista Chilena De Pediatria
|July 31, 2020
PubMed

Insights

Pediatric gastroenterologists most often diagnose abdominal migraine (AM), but rarely use Rome criteria. Neurologists diagnose AM without abdominal pain, indicating a need for better education on diagnosing this condition.

Area of Science:

  • Pediatric neurology
  • Pediatric gastroenterology

Background:

  • Abdominal migraine (AM) is an uncommon and understudied condition in children and adolescents.
  • Diagnosis and treatment of AM require further investigation.

Purpose of the Study:

  • To investigate the diagnosis and treatment of pediatric abdominal migraine.
  • To compare diagnostic and treatment approaches between pediatric gastroenterologists and neurologists.

Main Methods:

  • Retrospective review of 69 medical records of children and adolescents (1-18 years) diagnosed with abdominal migraine between 2011 and 2017.
  • Analysis of diagnosis, symptom onset, diagnostic criteria, tests, treatment, and outcomes.

Main Results:

  • Most patients (72.4%) were treated by pediatric gastroenterologists; 14.5% by neurologists.
  • Neurologists diagnosed AM without abdominal pain in 30% of cases, whereas gastroenterologists always included abdominal pain (p=0.0035).
  • Rome criteria were rarely used (10% by gastroenterology, 0% by neurology).

Conclusions:

  • Pediatric gastroenterologists are the primary diagnosticians of AM.
  • Gastroenterologists infrequently utilize established diagnostic criteria like the Rome criteria.
  • Neurological diagnoses of AM may lack essential criteria such as abdominal pain, highlighting a need for improved diagnostic education.
Abstract

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