Acute Confusional Migraine in an Adolescent: Response to Intravenous Valproate

被引:10
作者
Ben Avraham, Shelly [2 ]
Har-Gil, Miki [1 ]
Watemberg, Nathan [1 ]
机构
[1] Tel Aviv Univ, Child Neurol Unit, Meir Med Ctr, Kefar Sava, Israel
[2] Tel Aviv Univ, Meir Med Ctr, Dept Pediat, Kefar Sava, Israel
关键词
confusional migraine; treatment; valproate; PEDIATRIC MIGRAINE; ACID; PROPHYLAXIS; MANAGEMENT; CHILDHOOD;
D O I
10.1542/peds.2009-2717
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Acute confusional migraine (ACM) is a dramatic, rare manifestation of migraine described mostly for children and adolescents. There are few data on the treatment of an ACM attack. Prochlorperazine has been suggested as an effective drug. The authors of some reports have suggested that valproic acid may play a role in the prevention of ACM and as treatment for acute migraine headache in the adult population. However, this medication has not been reported as first-line, acute therapy for ACM. We report here the case of a 12-year-old girl who presented with an ACM attack that resolved rapidly after intravenous administration of valproic acid. Pediatrics 2010; 125: e956-e959
引用
收藏
页码:E956 / E959
页数:4
相关论文
共 18 条
[1]   Pediatric migraine equivalents: Occurrence and clinical features in practice [J].
Al-Twaijri, WA ;
Shevell, MI .
PEDIATRIC NEUROLOGY, 2002, 26 (05) :365-368
[2]   Acute mental status change due to acute confusional migraine [J].
Bechtel, K .
PEDIATRIC EMERGENCY CARE, 2004, 20 (04) :238-241
[3]   Valproic acid regulates catecholaminergic pathways by concentration-dependent threshold effects on TH mRNA synthesis and degradation [J].
D'Souza, Antoni ;
Onem, Eylem ;
Patel, Pranav ;
La Gamma, Edmund F. ;
Nankova, Bistra B. .
BRAIN RESEARCH, 2009, 1247 :1-10
[4]   Pediatric migraine: Pharmacologic agents for prophylaxis [J].
Eiland, Lea S. ;
Jenkins, Lauren S. ;
Durham, Spencer H. .
ANNALS OF PHARMACOTHERAPY, 2007, 41 (7-8) :1181-1190
[5]   Confusional migraine or photoepilepsy? [J].
Evans, RW ;
Gladstein, J .
HEADACHE, 2003, 43 (05) :506-508
[6]   Use of intravenous valproic acid for acute migraine [J].
Frazee, Lawrence A. ;
Foraker, Kimberly C. .
ANNALS OF PHARMACOTHERAPY, 2008, 42 (03) :403-407
[7]   Diagnosis and Management of the Primary Headache Disorders in the Emergency Department Setting [J].
Friedman, Benjamin Wolkin ;
Grosberg, Brian Mitchell .
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2009, 27 (01) :71-+
[8]   The efficacy of sodium valproate and a MRA finding in confusional migraine [J].
Fujita, Mitsue ;
Fujiwara, Junko ;
Maki, Takako ;
Shigeta, Midori ;
Shibasaki, Kayoko ;
Takahashi, Nobuyuki ;
Takahashi, Masahide .
BRAIN & DEVELOPMENT, 2007, 29 (03) :178-181
[9]   Prochlorperazine-Treatment for Acute Confusional Migraine [J].
Khatri, Rakesh ;
Hershey, Andrew D. ;
Wong, Brenda .
HEADACHE, 2009, 49 (03) :477-480
[10]   Pediatric Migraine [J].
Lewis, Donald W. .
NEUROLOGIC CLINICS, 2009, 27 (02) :481-+