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无偏头痛的先兆或爱丽丝梦游仙境综合征:儿科临床病例

[Aura without migraine or Alice in Wonderland syndrome: Pediatric clinical case].

作者信息

Gómez-Sánchez Daniel, Ros-Cervera Gonzalo, Pérez-Verdú Julia, Pelechano-Ribes Francisca, Orta-Sibú Nelson, Sequí Canet José M

机构信息

Unidad de Cefaleas, Hospital "Francisco de Borja", Gandía, Valencia, España.

Unidad de Neuropediatría, Hospital "Francisco de Borja", Gandía, Valencia, España.

出版信息

Arch Argent Pediatr. 2019 Feb 1;117(1):e34-e36. doi: 10.5546/aap.2019.e34.

Abstract

Migraine with aura in children is often reported, typical aura without headache is reported sometimes, but persistent aura and Alice in Wonderland syndrome is exceptionally reported. We present a case corresponding to the last one mentioned in a 6-year-old patient who had at least two episodes with the typical characteristics of aura without migraine before developing more frequently the complete clinical picture of aura and subsequently headache. The complementary studies systematically done to the patient were normal and she improved with conventional therapy.It is important to emphasize that the syndrome should be suspected in any patient who presents the described manifestations in order to approach to the diagnosis of aura without migraine, to discard either organic pathology or another cause and to indicate adequate therapeutic measures.

摘要

儿童偏头痛伴先兆的情况常有报道,有时也会报告无头痛的典型先兆,但持续性先兆和爱丽丝梦游仙境综合征的报道极为罕见。我们报告一例6岁患者,符合上述最后一种情况,该患者在更频繁地出现先兆及随后头痛的完整临床表现之前,至少有两次发作具有无偏头痛的典型先兆特征。对该患者系统进行的辅助检查均正常,且她通过传统治疗后病情好转。必须强调的是,对于任何出现上述表现的患者,都应怀疑该综合征,以便对无偏头痛的先兆进行诊断,排除器质性病变或其他病因,并采取适当的治疗措施。

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