Which physical findings are characteristic of childhood migraine variants (equivalents)?

Updated: Nov 19, 2019
  • Author: Wendy G Mitchell, MD; Chief Editor: Stephen L Nelson, Jr, MD, PhD, FAACPDM, FAAN, FAAP, FANA  more...
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Answer

As with all vascular headache syndromes, the neurologic examination between episodes typically yields completely normal findings. If persistent neurologic signs (eg, hemiparesis, visual changes, sensory loss) are evident between episodes, strongly consider and investigate alternative diagnoses.

Migraineurs have a higher risk of stroke, and patients with hemiplegic migraine may be at even higher risk. Abdominal migraine (cyclic vomiting syndrome) may cause significant dehydration.


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