Brown J K
Dev Med Child Neurol. 1977 Oct;19(5):683-92. doi: 10.1111/j.1469-8749.1977.tb08005.x.
Migraine is one of the most common disorders seen in paediatric neurological practice. It may present with an obvious diagnosis of 'classical migraine' or it may mimic acute neurological disease. It may require extensive investigation and, before the more classical full-blown features of migraine appear, there can be a worrying period of follow-up for the physician, wondering whether he has missed some serious pathology--especially in cases of hemiplegic and ophthalmoplegic migraine. Differentiation from epilepsy, particularly of psychomotor type, may be impossible. Migraine frequently presents as a stress reaction to school failure. If this underlying cause is unrecognised and uncorrected, the response to medication will be poor.
偏头痛是儿科神经科临床中最常见的病症之一。它可能表现为明显的“典型偏头痛”诊断，也可能类似急性神经疾病。它可能需要进行广泛的检查，并且在偏头痛更典型的全面症状出现之前，医生会有一段令人担忧的随访期，怀疑自己是否遗漏了某些严重病变——尤其是在偏瘫性和眼肌麻痹性偏头痛病例中。与癫痫，尤其是精神运动型癫痫进行鉴别可能是不可能的。偏头痛常常表现为对学业失败的应激反应。如果这种潜在病因未被识别和纠正，药物治疗的效果将会很差。
