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词条 Abdominal migraine
释义

  1. Diagnosis

  2. Pathophysiology

  3. History

  4. References

Abdominal migraine is a disorder primarily of children which presents with episodes of abdominal pain without an accompanying headache.[1][2] It is difficult to confirm the diagnosis as there are not a set of features that is specific and thus it can take time before the diagnosis is made.[3] The condition is rare in adults.[1]

Diagnosis

The diagnosis of abdominal migraines is controversial.[4] Diagnostic criteria from the International Classification of Headache Disorders {{As of|2004|lc=y}} are:

A. At least 5 attacks fulfilling criteria B-D.

B. Attacks of abdominal pain lasting 1–72 hours (untreated or unsuccessfully treated)

C. Abdominal pain has all of the following characteristics:

1. midline location, periumbilical or poorly localized

2. dull or "just sore" quality

3. moderate or severe intensity

D. During abdominal pain at least 2 of the following:

1. anorexia

2. nausea

3. vomiting

4. pallor

E. Not attributed to another disorder[5]

Pathophysiology

Abdominal migraines are a type of functional pain.[6]

History

This condition was first described in 1921 by Buchanan.[7]

References

1. ^1 {{cite journal|last=Russell|first=G|author2=Abu-Arafeh, I|author3= Symon, DN|title=Abdominal migraine: evidence for existence and treatment options|journal=Paediatric drugs|year=2002|volume=4|issue=1|pages=1–8|pmid=11817981|doi=10.2165/00128072-200204010-00001}}
2. ^{{cite journal|last=Cuvellier|first=JC|author2=Lépine, A|title=Childhood periodic syndromes|journal=Pediatric Neurology|date=Jan 2010|volume=42|issue=1|pages=1–11|pmid=20004856|doi=10.1016/j.pediatrneurol.2009.07.001}}
3. ^{{cite journal|last=Catto-Smith|first=AG|author2=Ranuh, R|title=Abdominal migraine and cyclical vomiting.|journal=Seminars in pediatric surgery|date=Nov 2003|volume=12|issue=4|pages=254–8|pmid=14655164|doi=10.1053/j.sempedsurg.2003.08.006}}
4. ^{{cite book|last=Davidoff|first=Robert A.|title=Migraine : manifestations, pathogenesis, and management|year=2002|publisher=Oxford Univ. Press|location=Oxford [u.a.]|isbn=9780195137057|page=81|url=https://books.google.com/books?id=PAdn6xC3KlAC&pg=PA81 |edition=2nd }}
5. ^{{cite journal |author=Headache Classification Subcommittee of the International Headache Society |year=2004 |title=The International Classification of Headache Disorders, 2nd Edition |journal=Cephalalgia |publisher=Blackwell Publishing |location=Oxford, England |volume=24 |issue=Supplement 1 |issn=0333-1024 |url=http://www.i-h-s.org/upload/ct_clas/ihc_II_main_no_print.pdf|accessdate=4 September 2009|archiveurl=https://web.archive.org/web/20071030183048/http://www.i-h-s.org/upload/ct_clas/ihc_II_main_no_print.pdf|archivedate=October 30, 2007|deadurl=y}}
6. ^{{cite journal|last=Noe|first=JD|author2=Li, BU|title=Navigating recurrent abdominal pain through clinical clues, red flags, and initial testing|journal=Pediatric annals|date=May 2009|volume=38|issue=5|pages=259–66|pmid=19476298}}
7. ^{{cite book|last=Tepper|first=edited by Stewart J. Tepper, Deborah E.|title=The Cleveland Clinic manual of headache therapy|publisher=Springer|location=New York|isbn=9781461401780|pages=96|url=https://books.google.com/books?id=uaG08nAKG_wC&pg=PA96}}

1 : Migraine
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