Pediatric Episodic Migraine with Aura: A Unique Entity?

Shapiro, Hannah F J; Lebel, Alyssa

doi:10.3390/children8030228

Cited by 7 publications

(5 citation statements)

References 115 publications

(144 reference statements)

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“…Pediatric migraines also may be associated with an aura. Typical auras present with positive manifestations followed by negative manifestations 31. The most commonly reported features are visual in nature; for example, shimmering, flashing lights and/or visual hallucinations (such as uniform patterns or shapes) followed by scotomata 31.…”

Section: Differential Diagnosismentioning

confidence: 99%

“…Migraines are a common neurologic condition in children. 31 In contrast to headaches associated with hydrocephalus, migraines in children present with a prodromal period beginning hours to days before the migraine's onset, consisting of combinations of fatigue, poor concentration, irritability, neck stiffness, blurred vision, nausea, phonophobia, and photophobia. 32 Similarly to migraines, headaches associated with pediatric hydrocephalus may present with photophobia.…”

Section: Differential Diagnosismentioning

confidence: 99%

“…Typical auras present with positive manifestations followed by negative manifestations. 31 The most commonly reported features are visual in nature; for example, shimmering, fl ashing lights and/ or visual hallucinations (such as uniform patterns or shapes) followed by scotomata. 31 Symptoms can include sensory and speech/language manifestations.…”

Section: Differential Diagnosismentioning

confidence: 99%

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Recognizing and managing hydrocephalus in children

Alois

Luntz

2023

Jaapa

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Hydrocephalus is one of the most common indications for pediatric neurosurgical intervention and is associated with the need for lifelong monitoring. All clinicians should be familiar with the complications that may arise throughout life in these patients so that they can provide timely intervention. This article focuses on the assessment of hydrocephalus, the appropriate diagnostic workup and differential diagnoses, and evidence-based surgical treatments and associated outcomes.

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Section: Differential Diagnosismentioning

confidence: 99%

Section: Differential Diagnosismentioning

confidence: 99%

Section: Differential Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Recognizing and managing hydrocephalus in children

Alois

Luntz

2023

Jaapa

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“…Despite the smaller amount of evidence compared to adult patients, unusual visual aura has also been reported in children and adolescents. Polychromatic figures and formed shapes (e.g., dots, circles, triangles, squares, stars) [ 29 ] can mimic occipital seizures but duration, localization, and movement pattern, as previously mentioned, may provide guidance for the correct diagnosis ( Figure 1 ).…”

Section: Visual Symptoms In Both Conditions: Epilepsy and Migrainementioning

confidence: 99%

A Narrative Review of Visual Hallucinations in Migraine and Epilepsy: Similarities and Differences in Children and Adolescents

D’Agnano

Cascio

Correnti³

et al. 2023

Brain Sciences

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Since the earliest descriptions of the simple visual hallucinations in migraine patients and in subjects suffering from occipital lobe epilepsy, several important issues have arisen in recognizing epileptic seizures of the occipital lobe, which often present with symptoms mimicking migraine. A detailed quantitative and qualitative clinical scrutiny of timing and characteristics of visual impairment can contribute to avoiding mistakes. Differential diagnosis, in children, might be challenging because of the partial clinical, therapeutic, and pathophysiological overlaps between the two diseases that often coexist. Ictal elementary visual hallucinations are defined by color, shape, size, location, movement, speed of appearance and duration, frequency, and associated symptoms and their progression. The evaluation of the distinctive clinical features of visual aura in migraine and visual hallucinations in occipital epilepsy could contribute to understanding the pathogenetic mechanisms of these two conditions. This paper aims to critically review the available scientific evidence on the main clinical criteria that address diagnosis, as well as similarities and differences in the pathophysiological mechanisms underlying the visual impairment in epilepsy and migraine.

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“…Brainstem symptoms (dysarthria or vertigo), motor weakness and retinal symptoms (such as repeated monocular visual disturbances) may also occur in the course of aura. There are different types of aura: visual, sensory, speech or language, motor, retinal and brainstem [3,16,23]. Migraine in children is characterized by a frequent occurrence of predictive symptoms.…”

Section: Symptomsmentioning

confidence: 99%

Migraine in children population - systemic review

Wieteska

Maj

Gendek

et al. 2022

J Educ Health Sport

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Introduction and objective: Migraine constitutes the main reason for acute and recurrent headache among children globally. It is a primary headache syndrome that affects from 3 up to 10% of paediatric population. The frequency of migraine increases with age up to puberty. The aim of this study is to systemize recent knowledge about migraine in children. The information used in the presented analysis was obtained by searching academic research databases: Google Scholar and PubMed. An abbreviated description of the state of knowledge: The exact pathogenesis of migraine remains unknown, but involvement of nervous system, cardiovascular system, genetic predisposition and environmental factors are considered in the development of disease. Symptoms of migraine vary between individuals and can be wide-ranging. They may resemble disorders such as tension headache, cluster headache, epilepsy, brain tumour or ischemic stroke. The diagnostic process is based on anamnesis, and may therefore be challenging in children because of difficulties related to communication. Symptom-relieving therapy of migraine is well-established in contrast to pharmacological prophylactic treatment which is not sufficiently evidence-based. Summary: Migraine remains a global problem in the paediatric population. The condition is associated not only with physical pain, but also it leads to many long-term complications such as emotional problems and social disruption. Lack of safe and effective preventive medical therapies is a driving factor to improve trials of migraine treatment in the future.

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Pediatric Episodic Migraine with Aura: A Unique Entity?

Cited by 7 publications

References 115 publications

Recognizing and managing hydrocephalus in children

Recognizing and managing hydrocephalus in children

A Narrative Review of Visual Hallucinations in Migraine and Epilepsy: Similarities and Differences in Children and Adolescents

Migraine in children population - systemic review

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