By Donald Lewis
Migraine is a debilitating ailment, it truly is crucial that it really is clinically determined effectively and speedily in sufferers. This ebook covers, in-depth, the major diagnostic standards and coverings that pediatricians and different fundamental care prone has to be conscious of so one can deal with pediatric migraine effectively.
• Written through a professional near to pediatric migraine/headache
• A refresher for GPs and clinic medical professionals with sensible diagnostic and remedy advice
• experiences medical advancements and instructions, and areas them into daily scientific practice
• Stresses the significance of early intervention, treatments and sufferer schooling
• Concise yet comprehensive
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Extra resources for Clinician's Manual - Treatment of Pediatric Migraine
Affected patients will describe distorted visual perceptions such as micropsia, macropsia, metamorphopsia, teleopsia, or macro/microsomatognopsia. The visual symptoms likely represent CSD and oligemia involving the parietooccipital region heralding the headache. Confusional migraine has perceptual and cognitive distortions as its cardinal feature. Affected patients, usually boys, abruptly become agitated, restless, disoriented, and occasionally combative. The confusion phase may last minutes to hours.
Attacks are associated with pallor and lethargy. There is complete resolution of symptoms between attacks (Figure 11). Caution must be exercised before making this diagnosis 1 & % * "5 3 * $. * ( 3 " * / &t Diagnostic criteria for cyclic vomiting syndrome A. At least 5 attacks fulfilling criteria B and C B. Episodic attacks, stereotypical in the individual patient, of intense nausea and vomiting lasting 1–5 days C. Vomiting during attacks occurs at least 5 times/hour for at least 1 hour D.
Not attributed to another disorder. History and physical examination do not show signs of gastrointestinal or renal disease or such disease has been ruled out by appropriate investigations Figure 12 Diagnostic criteria for abdominal migraine. 1 & % * "5 3 * $. * ( 3 " * / &t As with CVS, the key to this entity is to recognize the recurrent pattern of symptoms and to exclude other GI or renal diseases by appropriate investigations. org. An uncommon entity which has historically been included in the spectrum of migraine variants, but omitted from the IHS grouping of periodic syndromes, is Benign Paroxysmal Torticollis.
Clinician's Manual - Treatment of Pediatric Migraine by Donald Lewis