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Related Experiment Videos

Case study: dreamy state and temporal lobe dysfunction in a migrainous adolescent

G Pelletier1, J Legendre-Roberge, B Boileau

  • 1Hôpital Ste-Justine, Université de Montréal, Quebec, Canada.

Journal of the American Academy of Child and Adolescent Psychiatry
|March 1, 1995
PubMed
Summary

Childhood migraine can present with unusual psychiatric symptoms like confusion and amnesia. Brain imaging revealed temporal lobe dysfunction during migraine attacks, even with normal neurological exams.

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Area of Science:

  • Neurology
  • Child Psychiatry

Background:

  • Migraine symptoms in children and adolescents can be atypical.
  • Psychiatric manifestations are sometimes observed but can be challenging to diagnose.

Observation:

  • A case study details a young individual experiencing migraine with primarily psychiatric symptoms.
  • Symptoms included a dreamy state, intermittent confusion, partial amnesia, and regressive, depressive behavior.

Findings:

  • Neurological examinations and electroencephalography (EEG) showed normal results.
  • Single-photon emission computed tomography (SPECT) using 99mTc-hexamethyl-propyleneamine oxamine identified temporal lobe dysfunction during migraine episodes.

Implications:

  • Highlights the importance of considering migraine in pediatric psychiatric presentations.

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  • Suggests neuroimaging techniques like SPECT can detect underlying brain dysfunction in atypical migraines.
  • Emphasizes the need for broader diagnostic criteria for migraine in younger populations.