title: [Migraine in a pediatric emergency service].
abstract: 105 patients were studied, during a one year period, who had attended the Pediatric Emergency Room, because of a migraine or migraine-like attack. In 8 patients, a different final diagnosis was accomplished during the acute episode: cerebral tumor, subaracnoid bleeding, epilepsy and meningitis. The clinical features are described. Aura symptoms and/or neurologic deficit were necessarily more frequent in these patients than those attending a pediatric out-patient clinic. Neurodiagnostic procedures (EEG, lumbar puncture, CT-Scan) were done in 20%; a third part of the patients were observed at the hospital during several hours before discharge, but only 5% required to be admitted. 30% had attended the Emergency Room in previous occasions for the same purpose. Half of the children did not have a history of migraine, therefore a definite diagnostic of migraine would depend of posterior evolution.
authors.affiliation: Departamento de Pediatría, Hospital de Cruces, Baracaldo, Vizcaya.
authors.forename: J
authors.initials: J
authors.lastname: Sánchez Echaniz
authors.forename: M
authors.initials: M
authors.lastname: Santiago Burruchaga
authors.forename: J
authors.initials: J
authors.lastname: Benito Fernández
authors.forename: I
authors.initials: I
authors.lastname: Pocheville Guruceta
authors.forename: M
authors.initials: M
authors.lastname: Mendia Gutiérrez
authors.forename: N
authors.initials: N
authors.lastname: Aramburu Bardesi
authors.forename: C
authors.initials: C
authors.lastname: Garaizar Axpe
authors.forename: J M
authors.initials: JM
authors.lastname: Prats Viñas
mesh_terms: D000367:Age Factors; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D004833:Epilepsy, Temporal Lobe / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007223:Infant; D008582:Meningitis, Aseptic / Q000150:complications / Q000175:diagnosis; D008881:Migraine Disorders / Q000209:etiology* / Q000235:genetics; D013030:Spain; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis
vernacular_title: Migraña en un servicio de urgencias pediátrico.