[First manifestation of migraine as acute confusional state: "confusional migraine" and diagnostic problems].
We report on a 11-year-old girl with a first migrainous attack presenting as a confusional state. The diagnosis was made after the acute episode had subsided. Other conditions as encephalitis or space occupying lesions must be ruled out. We discuss the diagnostic and therapeutic consequences.
Zentrum für Kinder- und Jugendmedizin, Klinikum Wuppertal-Universität Witten/Herdecke. borusiak@klinikum-wuppertal.de
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D000208:Acute Disease; D000367:Age Factors; D002648:Child; D003221:Confusion / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis* / Q000188:drug therapy; D017366:Serotonin Receptor Agonists / Q000627:therapeutic use; D018170:Sumatriptan / Q000627:therapeutic use
D017366:Serotonin Receptor Agonists; D018170:Sumatriptan