Abdominal migraine
From Infogalactic: the planetary knowledge core
Abdominal migraine is a disorder primarily of children which presents with episodes of abdominal pain without an accompanying headache.[1][2] It is difficult to confirm the diagnosis as there are not a set of features that is specific and thus it can take time before the diagnosis is made.[3] The condition is rare in adults.[1]
Diagnosis
The diagnosis of abdominal migraines is controversial.[4] Diagnostic criteria from the ICHD2 are:
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Diagnostic criteria:
- A. At least 5 attacks fulfilling criteria B-D.
- B. Attacks of abdominal pain lasting 1-72 hours (untreated or unsuccessfully treated)
- C. Abdominal pain has all of the following characteristics:
- 1. midline location, periumbilical or poorly localized
- 2. dull or "just sore" quality
- 3. moderate or severe intensity
- D. During abdominal pain at least 2 of the following:
- 1. anorexia
- 2. nausea
- 3. vomiting
- 4. pallor
- E. Not attributed to another disorder
— International Classification of Headache Disorders[5]
Pathophysiology
Abdominal migraines are a type of functional pain.[6]
History
This condition was first described in 1921 by Buchanan.[7]
References
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