ACUTE CONFUSIONAL MIGRAINE AND TRAUMA-TRIGGERED MIGRAINE

Migraine in children can present as a state of confusion or agitation with or without a history of migraine, These events can arise spontane ously or can be triggered by mild head trauma, Transient blindness and hemiplegia may accompany the confusional state. We present two cases of children with histories of confusion and agitation, one with multip le episodes after mild head trauma, The symptomatology, differential d iagnosis, theories on pathogenesis, and natural history of confusional migraine are discussed. (Am J Emerg Med 1996;14:276-278. Copyright (C ) 1996 by W.B. Saunders Company)