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Related Concept Videos

Dissociative Amnesia01:21

Dissociative Amnesia

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Dissociative amnesia is a complex psychological condition that manifests as an inability to recall personal information, often tied to traumatic or stressful events. Unlike general amnesia, individuals with this condition retain the ability to perform routine activities and procedural tasks, such as operating a phone or navigating public transportation, yet experience profound gaps in autobiographical memory. These lapses may encompass significant life events, such as suicide attempts or...
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Related Experiment Video

Updated: Jun 16, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Acute Confusional Migraines: A Case Report.

Devin M Howell1, Garrett Lamouree2

  • 1Northwell Health, Department of Emergency Medicine, Huntington, New York.

Clinical Practice and Cases in Emergency Medicine
|August 19, 2024
PubMed
Summary
This summary is machine-generated.

Acute confusional migraine (ACM) is a rare, self-resolving migraine variant that is challenging to diagnose. This case highlights the need for ICHD-3 recognition to improve patient care and establish standardized treatments for ACM.

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Related Experiment Videos

Last Updated: Jun 16, 2025

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Area of Science:

  • Neurology
  • Neuroscience
  • Headache Medicine

Background:

  • Acute confusional migraine (ACM) is a rare, benign, and self-resolving migraine variant.
  • ACM presents a diagnostic challenge due to its puzzling clinical presentation and lack of recognition in the International Classification of Headache Disorders (ICHD-3).
  • There is currently no standardized treatment protocol for ACM.

Purpose of the Study:

  • To present a case illustrating the diagnostic and treatment difficulties associated with ACM.
  • To emphasize the need for formal recognition of ACM by the ICHD-3.
  • To advocate for increased research, awareness, and standardized treatment protocols for ACM.

Main Methods:

  • A case report of a 14-year-old female presenting with acute onset of confusion, vision changes, right-sided weakness, and dysarthria.
  • Initial stroke workup yielded no pertinent findings.
  • Treatment with a migraine cocktail led to complete resolution of symptoms.

Main Results:

  • The patient's symptoms resolved spontaneously during transfer and completely after migraine cocktail administration.
  • The case underscores the diagnostic challenges and self-limiting nature of ACM.
  • The patient was discharged with outpatient follow-up.

Conclusions:

  • Formal recognition of ACM by the ICHD-3 is crucial for improving patient care.
  • Recognition will foster further research into the pathophysiology and treatment of ACM.
  • Establishing standardized treatment protocols is essential for better patient outcomes.