Axon A T, Long D E, Jones S C
J Clin Gastroenterol. 1991 Dec;13(6):615-6.
Abdominal migraine is well recognised in children, but in spite of anecdotal reports migraine is not well established as a cause of abdominal pain in adults. Functional abdominal pain is usually classified as either irritable bowel syndrome or nonulcer dyspepsia, but some patients have intermittent abdominal pain associated with headache or other migraine accompaniments and, in these, a diagnosis of abdominal migraine should be considered. It is possible that some patients with functional abdominal pain have migraine presenting with few or even no migraine accompaniments. There is no nonclinical objective standard for diagnosing migraine, and research in this area is therefore very difficult. Nevertheless, some patients with functional abdominal pain may respond to antimigraine medication and, if their symptoms are suggestive, a trial of therapy may be desirable.
腹型偏头痛在儿童中已得到充分认识，但尽管有一些传闻报道，偏头痛作为成人腹痛的病因尚未得到充分证实。功能性腹痛通常分为肠易激综合征或非溃疡性消化不良，但有些患者会出现与头痛或其他偏头痛伴随症状相关的间歇性腹痛，对于这些患者，应考虑腹型偏头痛的诊断。有可能一些功能性腹痛患者的偏头痛表现为很少甚至没有偏头痛伴随症状。目前尚无诊断偏头痛的非临床客观标准，因此该领域的研究非常困难。然而，一些功能性腹痛患者可能对抗偏头痛药物有反应，如果他们的症状提示有这种可能，进行治疗试验可能是可取的。
