Abdominal migraine

Abdominal migraine is a disorder primarily of children which presents with episodes of abdominal pain without an accompanying headache.[1][2] It is difficult to confirm the diagnosis as there are not a set of features that is specific and thus it can take time before the diagnosis is made.[3] The condition is rare in adults.[1]

Diagnosis

The diagnosis of is controversial.[4] Diagnostic criteria from the ICHD2 are:

Diagnostic criteria:

A. At least 5 attacks fulfilling criteria B-D.
B. Attacks of abdominal pain lasting 1-72 hours (untreated or unsuccessfully treated)
C. Abdominal pain has all of the following characteristics:
1. midline location, periumbilical or poorly localized
2. dull or "just sore" quality
3. moderate or severe intensity
D. During abdominal pain at least 2 of the following:
1. anorexia
2. nausea
3. vomiting
4. pallor
E. Not attributed to another disorder

— International Classification of Headache Disorders[5]

Pathophysiology

Abdominal migraines are a type of functional pain.[6]

History

This condition was first described in 1921 by Buchanan.[7]

References

  1. 1 2 Russell, G; Abu-Arafeh, I; Symon, DN (2002). "Abdominal migraine: evidence for existence and treatment options.". Paediatric drugs 4 (1): 1–8. doi:10.2165/00128072-200204010-00001. PMID 11817981.
  2. ↑ Cuvellier, JC; Lépine, A (Jan 2010). "Childhood periodic syndromes.". Pediatric neurology 42 (1): 1–11. doi:10.1016/j.pediatrneurol.2009.07.001. PMID 20004856.
  3. ↑ Catto-Smith, AG; Ranuh, R (Nov 2003). "Abdominal migraine and cyclical vomiting.". Seminars in pediatric surgery 12 (4): 254–8. doi:10.1053/j.sempedsurg.2003.08.006. PMID 14655164.
  4. ↑ Davidoff, Robert A. (2002). Migraine : manifestations, pathogenesis, and management (2nd ed.). Oxford [u.a.]: Oxford Univ. Press. p. 81. ISBN 9780195137057.
  5. ↑ Headache Classification Subcommittee of the International Headache Society (2004). "The International Classification of Headache Disorders, 2nd Edition" (PDF). Cephalagia (Oxford, England, UK: Blackwell Publishing) 24 (Supplement 1). ISSN 0333-1024. Retrieved 4 September 2009.
  6. ↑ Noe, JD; Li, BU (May 2009). "Navigating recurrent abdominal pain through clinical clues, red flags, and initial testing.". Pediatric annals 38 (5): 259–66. PMID 19476298.
  7. ↑ Tepper, edited by Stewart J. Tepper, Deborah E. The Cleveland Clinic manual of headache therapy. New York: Springer. p. 96. ISBN 9781461401780.
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