Información adicional

• Num_publicacion 78(3-4)
• Resumen_ingles

  Introduction: Acute confusional migraine is a transient confusional state, and in some cases headache is not present. It is a rare manifestation, with few cases in the literature, most of them in adolescence.

  Clinical cases: We report 3 cases in adolescents with this pathology, one of them with past medical history of migraine. The first one presented a slowed interictal electroencephalogram that merited initiating intravenous acyclovir, although it limited the clinic with intravenous haloperidol; the second one presented a loss of consciousness and prolonged hypotonia, and the last one was in previous follow-up due to migraine without prophylaxis. Magnetic resonance image was normal in all of them. The follow up of our patients was good, with full recovery and without new confusional episodes.

  Conclusion: Acute confusional migraine is a rare entity that needs to be known to study it in the differential diagnosis of acute confusional symptoms. There are few published cases, so the therapeutic experience is scarce and controversial. New series with larger sample size could suggest the most suitable treatments and help to better understand the evolution of these patients.

• Palabras_clave_ingles Acute confusional migraine confusion adolescent
• Todos_autores R. Berzosa López, M. Alba Jiménez, R. Piñeiro Pérez
• autores listados R. Berzosa López, M. Alba Jiménez, R. Piñeiro Pérez
• Titulo_ingles The migraine that confuses us all
• Centros_trabajo Servicio de Pediatría. Hospital General de Villalba. Collado-Villalba (Madrid)
• Publicado en Acta Pediatr Esp. 2020; 78(3-4): e127-e130
• copyright ©2020 Ediciones Mayo, S.A.
• Tipo de Artículo Clínico (Microdatos) Case Reports