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Confusional Migraine Precipitated by Mild Head Trauma
Arch Pediatr Adolesc Med. 2000;154:90-91.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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The management of mild to moderate head trauma is controversial.1 The presence of a confusional state after head trauma can induce the physician to more extensive diagnostic procedures and to hospital admission. However, the possibility that confusion is caused by a migraine attack triggered by minor head trauma must be considered. We describe 11 patients who presented to our emergency department in the last 3 years in an acute confusional state. They were all diagnosed as having a syndrome compatible with trauma-triggered migraine.
Patient Reports
The children, 8 boys and 3 girls, ranged in age from 6 to 14 years (mean, 9.1 years) (Table 1). In addition to confusion, 5 patients presented with agitation, 3 with visual disturbances, 3 with bilateral mydriasis, 1 with dysarthria, 6 with somnolence, and 7 with vomiting. Six patients complained of headache. None had seizures. The attacks had lasted from 1 to 12 hours (median, . . . [Full Text of this Article]
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