Acute Confusional Migraine and Trauma-Triggered Migraine PETER C. FERRERA, MD, PAUL R. REICHO, MD Migraine in children can present as a state of confusion or agitation with or without a history of migraine. There are few data on the treatment of an ACM attack. The goal of this review is to explore the literature reports of acute confusional migraine (ACM) including patient characteristics, migraine symptomatology, and proposed diagnostic criteria.
Symptoms. Several hours of sleep is often enough to recover from this type of problem. Hemiplegic migraine may present in early childhood. The International Classification of Headache Disorders (ICHD‐II) – 2004 recognises many migraine variants (different from migraine without aura and migraine with typical aura), but acute confusional migraine (ACM) remains unclassified and most clinicians are not well acquainted with it. Acute confusional migraines are characterized by transient episodes of amnesia, acute confusion, agitation, lethargy, and dysphasia precipitated by minor head trauma. Another form of migraine, called an acute confusional episode, is almost exclusively experienced by young children. Acute confusional migraine Case report and review of literature J. Haan1'2, M.D. First attacks during the postpubertal teenage years are rare, although episodes may continue beyond puberty. 1 evaluation from a complex confusional migraine patient reports none effectiveness of Candesartan for complex confusional migraine (100%) 0 evaluations from complex confusional migraine patients report that they could not tell effectiveness of Candesartan for complex confusional migraine (0%) for complex confusional migraine (1 evaluation) Confusional migraine is a migraine associated with a temporary period of confusion often initiated by a minor head injury. Acute confusional migraine (ACM) is a dramatic, rare manifestation of migraine described mostly for children and adolescents. Acute confusional migraine has not been specifically studied and many clinicians remain unaware of the condition, which may result in underestimation of the prevalence. The International Classification of Headache Disorders (ICHD‐II) – 2004 recognises many migraine variants (different from migraine without aura and migraine with typical aura), but acute confusional migraine (ACM) remains unclassified and most clinicians are not well acquainted with it. A middle age woman who had frequent migraines was admitted with memory loss following severe unilateral headache, restlessness and confusion.
Case Studies in Headache: Acute Confusional Migraine. Acute confusional migraine (ACM) is a rare migraine variant, affecting children and adolescents, as well as adults. These events can arise spontaneously or can be triggered by mild head trauma. Prodrome. Migraines, which often begin in childhood, adolescence or early adulthood, can progress through four stages: prodrome, aura, attack and post-drome. By Jennifer Bickel, M.D. Acute confusional migraine (ACM) is a rare migraine variant, affecting children and adolescents, as well as adults. There are few data on the treatment of an ACM attack. Background.— ACM, well described in children, has rarely been reported in adults. Acute confusional migraine (ACM) is a dramatic, rare manifestation of migraine described mostly for children and adolescents. Patients and Methods: We present a series of eight adults and two adolescents suffering from migraine attacks associated with transient confusional states. Acute confusional migraines is a rare migraine variant, almost exclusively seen in young children, manifested by episodes of confusion, disorientation, and vomiting, with or without headaches.