[Migraine in a pediatric emergency service].
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.
Sánchez Echaniz
J
J
Departamento de Pediatría, Hospital de Cruces, Baracaldo, Vizcaya.
Santiago Burruchaga
M
M
Benito Fernández
J
J
Pocheville Guruceta
I
I
Mendia Gutiérrez
M
M
Aramburu Bardesi
N
N
Garaizar Axpe
C
C
Prats Viñas
J M
JM
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
Migraña en un servicio de urgencias pediátrico.