Abdominal Migraine (cyclical vomiting) – children who have
abdominal migraines usually have a family history of migraine (which
may or may not include an aura), repetitive abdominal cramps but
none in between migraines, episodes of abdominal pain in early
childhood or early adult life mainly in females.
These episodes may last from one to several hours and the pain
is localized, typically in the upper abdomen. They could be
accompanied by nausea and vomiting. If, however, the child loses
consciousness, then a seizure disorder should be considered.
Confusional Migraine - this can be what doctors call a minimal
headache and usually related to a confused state that can last from 10
minutes to 48 hours. Patients will exhibit agitation and are unable to
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speak coherently. Diagnosis must take into account the exclusion of
acute encephalopathy including partial complex seizures, metabolic
disorders, infection, and subarachnoid hemorrhage.
