Korean J Pediatr Gastroenterol Nutr.  2011 Dec;14(Suppl 1):S19-S24. 10.5223/kjpgn.2011.14.Suppl1.S19.

A Child with Abdominal Pain, Headache, and Dizziness

• Lee KH

• KMID: 1451145
• DOI: http://doi.org/10.5223/kjpgn.2011.14.Suppl1.S19

Abstract

Abdominal migraine is a syndrome characterized by recurrent episodes of paroxysmal abdominal pain and nausea or vomiting with wellness between episodes. It is often associated with a positive family history of migraine and no other apparent underlying disease. Abdominal epilepsy is an infrequent syndrome which occurs with gastrointestinal complaints caused by a seizure activity. It is characterized by paroxysmal onset of abdominal pain without visceral disorders, but comes along with the alteration of awareness during the attack and abnormal electroencephalogram findings. Like other epilepsies, this abdominal epilepsy is improved with anticonvulsant medication.

Keyword

Abdominal migraine; Abdominal epilepsy

MeSH Terms

Abdominal Pain
Child
Dizziness
Electroencephalography
Epilepsies, Partial
Epilepsy
Headache
Humans
Migraine Disorders
Nausea
Seizures
Vomiting

Reference

1. Collins BS, Thomas DW. Chronic abdominal pain. Pediatr Rev. 2007. 28:323–331.

2. Headache Classification Subcommittee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Cephalalgia. 2004. 24:1–160.

3. Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006. 130:1527–1537.

4. Bentley D, Hehely A, al-Bayaty M, Michie CA. Abdominal migraine as a cause of vomiting in children: A clinicians view. J Pediatr Gastroenterol Nutr. 1995. 21:S49–S51.

5. Carson L, Lewis D, Tsou M, McGuire E, Surran B, Miller C, et al. Abdominal migraine: an under-diagnosed cause of recurrent abdominal pain in children. Headache. 2011. [Epub ahead of print].

6. Lewis DW. Pediatric migraine. Neurol Clin. 2009. 27:481–501.

7. Stickler GB. Relationship between cyclic vomiting syndrome and migraine. Clin Pediatr (Phila). 2005. 44:505–508.

8. Dignan F, Abu-Arafeh I, Russell G. The prognosis of childhood abdominal migraine. Arch Dis Child. 2001. 84:415–418.

9. Catto-Smith AG, Ranuh R. Abdominal migraine and cyclic vomiting. Semin Pediatr Surg. 2003. 12:254–258.

10. Russell G, Symon DN, Abu-Arafeh IA. The child with recurrent abdominal pain: is it abdominal migraine? Br J Hosp Med (Lond). 2007. 68:M110–M113.

11. Lewis D, Ashwal S, Hershey A, Hirtz D, Yonker M, Silberstein S. Practice parameters: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcomittee and the Practice Committee of the Child Neurology Society. Neurology. 2004. 63:2215–2224.

12. Worawattanakul M, Rhoads JM, Lichtman SN, Ulshen MH. Abdominal migraine: prophylactic treatment and follow-up. J Pediatr Gastroenterol Nutr. 1999. 28:37–40.

13. Youn YA, Cho SY, Lee KY, Lee IG, Lee JS. A case of abdominal epilepsy diagnosed by 24-hour electroencephalogram monitoring. J Korean Child Neurol Soc. 2006. 14:337–341.

14. Song JY, Kim JS, Hwang JB. A case of abdominal epilepsy presenting with recurrent abdominal pain. Korean J Pediatr Gastroenterol Nutr. 2007. 10:202–205.

15. Peppercorn MA, Herzog AG. The spectrum of abdominal epilepsy in adults. Am J Gastroenterol. 1989. 84:1294–1296.

16. Moore MT. Paroxysmal abdominal pain; a form of focal symptomatic epilepsy. JAMA. 1944. 124:561–563.

17. Douglas EF, White PT. Abdominal epilepsy-a reappraisal. J Pediatr. 1971. 78:59–67.

18. Young GB, Blume WT. Painful epileptic seizures. Brain. 1983. 106:537–554.

19. Zinkin NT, Peppercorn MA. Abdominal epilepsy. Best Pract Res Clin Gastroenterol. 2005. 19:263–274.

20. Abu-Arafeh I, Hamalainen M. Olesen J, Tfelt-Hansen P, Welch KMA, editors. Childhood syndromes related to migraine. The headaches. 2000. 2nd ed. Philadelphia: Lipincott Williams and Wilkins;517–523.

21. Davidoff RA. Migraine: manifestations, pathogenesis, and management. 2002. 2nd ed. New York: Oxford University Press.

22. Nair DR, Najm I, Bulacio J, Luders H. Painful auras in focal epilepsy. Neurology. 2001. 57:700–702.