Abstract
Researchers at the Children's Hospital of the King's Daughters, Norfolk, VA conducted a retrospective chart review on patients referred with the clinical complaint of recurrent abdominal pain, and ICHD-2 criteria were applied to identify those fulfilling criteria for abdominal migraine (AM).
Highlights
Researchers at the Children's Hospital of the King's Daughters, Norfolk, VA conducted a retrospective chart review on patients referred with the clinical complaint of recurrent abdominal pain, and ICHD-2 criteria were applied to identify those fulfilling criteria for abdominal migraine (AM)
Of 458 patients with chronic, idiopathic, recurrent abdominal pain, only 20 (4.4%) met ICHD-2 criteria for AM and another 50 (11%) had probable AM, lacking at least one criterion for the diagnosis
Reasons for exclusion from the diagnosis of abdominal migraine included irritable bowel syndrome (41%), renal disease (4%), pre-existing neurologic disorder (7%), inflammatory bowel disease (16%), eosinophilc esophagitis (4%), and "other" (28%), including food allergies, celiac disease, cystic fibrosis, autism spectrum disorder, and anatomic abnormalities
Summary
It is controversial whether the migrainous attack is the cause or the symptom of ischemic stroke. Cases meeting the diagnostic criteria for acute migrainous infarction are reported in children. Of 7 children with attacks confirmed by CT, 4 followed for 2 years show no severe residual effect.
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