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[Confusional state and infantile migraine: report of a case]
Abstract:
The case of a male patient having had episodes of confusion and motor deficits at age 5, 9 and 11, admitted to the hospital on these three occasions is reported. All investigations showed negative results, except for the EEG. A clue for the clinical diagnosis of confusional state due to migraine was the past history of the patient, who suffered several migranous attacks from the age of 9. A review of the pathophysiology is made, based on the available literature.
Insights
A young male experienced recurrent confusion and motor deficits, diagnosed as migraine-associated confusional state. This case highlights the importance of patient history in diagnosing rare neurological presentations.
Area of Science:
- Neurology
- Pediatric Neurology
- Neuroscience
Background:
- Migraine is a common neurological disorder often presenting with headache.
- Confusional states and motor deficits are less common but recognized neurological symptoms.
Observation:
- A male patient experienced recurrent episodes of confusion and motor deficits at ages 5, 9, and 11.
- Hospital investigations, including EEG, were performed during these episodes.
- The patient had a history of migranous attacks starting at age 9.
Findings:
- The clinical diagnosis of confusional state due to migraine was suspected.
- The patient's history of migraine provided a crucial clue for diagnosis.
- EEG results were notable, though other investigations were negative.
Implications:
- This case underscores the diagnostic challenge of migraine-associated confusional states in children.
- It emphasizes the importance of a thorough patient history, including migrainous episodes.
- Further research into the pathophysiology of migraine variants is warranted.