Abdominal Migraine

Sonal Bhatia
More..
print
Abdominal Migraine - Introduction
Abdominal migraine (AM) is an under-diagnosed cause of recurrent abdominal pain in the pediatric population.
The term AM was used by Brams, close to a century ago, to describe periodic attacks of epigastralgia with symptom-free intervals between the episodes and a history of migraine in either the patient or his relative [1]. Since then, more precise criteria have been proposed to aid in the diagnosis of AM.
In 2003, AM was identified as one of the “childhood periodic syndromes that are commonly precursors of migraine” in the International Classification of Headache Disorders (ICHD-2) published by the International Headache Society (IHS); this was further corroborated by ICHD-3 laid out in 2013. In 2006, Rome III Diagnostic Criteria for Functional Gastrointestinal Disorders separately proposed identifying markers for AM which succeeded the 1999 Rome II Gastroenterology Criteria.
In a series of patients from a pediatric gastrointestinal clinic, at least 4-15 % of children with chronic, recurrent, idiopathic abdominal pain met diagnostic criteria for AM [2]. A UK study demonstrated a slightly lower prevalence at 2.4 % [3].
Interestingly, the application of Rome III criteria for AM classified a greater percentage of children as meeting the diagnostic criteria for AM when compared to the use of Rome II criteria (23.1 % vs 5.7%) [4].
The exact pathophysiology of AM is not clearly understood. There is overlap between AM and migraine as there is between the various functional gastrointestinal disorders such as cyclic vomiting and irritable bowel syndrome.


References
Abdominal Migraine Abdominal Migraine 02/13/2016
Abdominal Migraine - Presentation >>
ask doctor
Ask a Doctor
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0