Ferrera P C, Reicho P R
Department of Emergency Medicine, Albany Medical Center, NY 12208, USA.
Am J Emerg Med. 1996 May;14(3):276-8. doi: 10.1016/S0735-6757(96)90176-X.
Migraine in children can present as a state of confusion or agitation with or without a history of migraine. These events can arise spontaneously or can be triggered by mild head trauma. Transient blindness and hemiplegia may accompany the confusional state. We present two cases of children with histories of confusion and agitation, one with multiple episodes after mild head trauma. The symptomatology, differential diagnosis, theories on pathogenesis, and natural history of confusional migraine are discussed.
儿童偏头痛可能表现为意识混乱或烦躁不安的状态，有无偏头痛病史均可。这些情况可自发出现，也可由轻度头部外伤引发。意识混乱状态可能伴有短暂失明和偏瘫。我们报告两例有意识混乱和烦躁不安病史的儿童病例，其中一例在轻度头部外伤后出现多次发作。本文讨论了混乱型偏头痛的症状、鉴别诊断、发病机制理论及自然病程。
