d'Onofrio F, Cologno D, Buzzi M G, Petretta V, Caltagirone C, Casucci G, Bussone G
Azienda Ospedaliera S.G. Moscati, Avellino, Italy.
Eur J Neurol. 2006 Jan;13(1):85-8. doi: 10.1111/j.1468-1331.2006.01129.x.
Abdominal migraine is one of the variants of migraine headache typically occurring in children and coded as 1.3.2 in the revised edition of IHS classification within the group 'Childhood periodic syndromes that are commonly precursors of migraine'. The affected children frequently develop typical migraine later in their life. We report a case of a 23 years old woman affected by attacks of recurrent abdominal pain accompanied by migraine. Abdominal pain attacks started in the adolescence and persisted without headache until the patient was 21. At this time, she experienced migraine pain accompanied by nausea, photophobia and phonophobia and associated to acute abdominal pain. Neuroimaging investigations and laboratory testing excluded any underlying organic disease. Complete remission of abdominal attacks was obtained during 4-month treatment period with pizotifen. Attacks fulfil IHS diagnostic criteria for 'abdominal migraine', although of late onset. This case report suggests that 'abdominal migraine' is a migraineous disorder to be hypothesized in adult patients after having disclosed any organic disease. As reported in the literature, 'adult abdominal migraine' is a sporadic migraine subtype in adult patients and it is not to be considered as a new migraineous syndrome.
腹型偏头痛是偏头痛的一种变体，通常发生于儿童，在国际头痛协会（IHS）分类修订版中被编码为1.3.2，属于“通常为偏头痛先兆的儿童期周期性综合征”组。患病儿童在日后生活中常发展为典型偏头痛。我们报告一例23岁女性，反复出现腹痛发作并伴有偏头痛。腹痛发作始于青春期，在患者21岁之前一直持续且无头痛症状。此时，她出现偏头痛疼痛，伴有恶心、畏光和畏声，并伴有急性腹痛。神经影像学检查和实验室检测排除了任何潜在的器质性疾病。使用苯噻啶治疗4个月期间，腹痛发作完全缓解。尽管发病较晚，但这些发作符合IHS“腹型偏头痛”的诊断标准。本病例报告表明，在排除任何器质性疾病后，“腹型偏头痛”是成年患者中应被考虑的一种偏头痛性疾病。如文献所报道，“成人腹型偏头痛”是成年患者中的一种散发性偏头痛亚型，不应被视为一种新的偏头痛综合征。
