Abdominal Migraine in a Middle-aged Woman

Kunishi, Yosuke; Iwata, Yuri; Ota, Mitsuyasu; Kurakami, Yuichi; Matsubayashi, Mao; Kanno, Masatomo; Kuboi, Yoriko; Yoshie, Koichiro; Katô, Yoshio

doi:10.2169/internalmedicine.55.6626

Cited by 8 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The adult variant of AM appears to share many symptoms with the pediatric as is evidenced in this case as well as several others reported in the literature 6‐16 . Patients with AMs typically present with onset of nausea, abdominal pain, vomiting, and photophobia.…”

Section: Discussionsupporting

confidence: 68%

“…Children with AMs usually grow out of the condition but some may grow up to experience migraine headaches and recurrent abdominal pain as adults 3 . The diagnostic criteria for AM have been established in children, 4,5 and our review of the literature shows evidence of AM being diagnosed in adults 6‐17 . Here, we present the case of a 58‐year‐old female who met the established diagnostic criteria for AM following three hospital readmissions and extensive workup to rule out other etiologies.…”

Section: Introductionmentioning

confidence: 94%

See 1 more Smart Citation

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Karmali

Hall-Wurst

2020

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 94%

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Karmali

Hall-Wurst

2020

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…AM can also rarely persist in adulthood. 58 Longitudinal studies are needed to study long-term prognosis and the course of childhood AM into adulthood.…”

Section: Prognosismentioning

confidence: 99%

Pediatric abdominal migraine: current perspectives on a lesser known entity

Mani

Madani

2018

PHMT

View full text Add to dashboard Cite

BackgroundAbdominal migraine (AM) is a common cause of chronic and recurrent abdominal pain in children. It is characterized by paroxysms of moderate to severe abdominal pain that is midline, periumbilical, or diffuse in location and accompanied by other symptoms including headache, anorexia, nausea, vomiting, or pallor. Despite the presence of comprehensive diagnostic criteria under Rome IV classification of functional gastrointestinal disorders (FGIDs) and International Classification of Headache Disorders, it continues to be an underdiagnosed entity.OverviewThe average age of diagnosis is 3–10 years with peak incidence at 7 years. Most of the patients have a personal or family history of migraine. Pathophysiology of the condition is believed to be similar to that of other FGIDs and cephalic migraine. It is also well recognized as a type of pediatric migraine variant. A careful history, thorough physical examination, and use of well-defined, symptom-based guidelines are needed to make a diagnosis. Selective or no testing is required to support a positive diagnosis. It resolves completely in most of the patients. However, these patients have a strong propensity to develop migraine later in life. Explanation and reassurance should be the first step once the diagnosis is made. Nonpharmacologic treatment options including avoidance of triggers, behavior therapy, and dietary modifications should be the initial line of management. Drug therapy should be considered only if symptoms are refractory to these primary interventions.ConclusionMore research focused on pathophysiology and management of AM needs to be carried out to improve outcomes in affected children.

show abstract

“…Several studies indicated that functional dyspepsia was more common in older and/or aged women in both Japan [ 24 ] and Western countries [ 25 ], whereas in Taiwan functional dyspepsia was more common in the younger generations [ 26 ]. The upper gastrointestinal symptoms were sometimes accompanied by other clinical symptoms, including headache [ 27 ] and gastric dysfunction [ 28 – 32 ] in an age-related manner. Judging from these data and the present results, complaints of the upper gastrointestinal symptoms occurred more often in young females, although they might not portend as serious a situation as when they occur in older and/or aged generations.…”

Section: Discussionmentioning

confidence: 99%

Higher frequency of upper gastrointestinal symptoms in healthy young Japanese females compared to males and older generations

Kawachi¹,

Sakata²,

Hara

et al. 2017

Esophagus

View full text Add to dashboard Cite

BackgroundThe aim of this study was to evaluate the differences in upper gastrointestinal symptoms between generations and genders in relatively healthy Japanese subjects.MethodsAltogether, 4086 healthy Japanese male and female (M/F) adults (M/F: 2244/1842) were analyzed. Among them, 3505 subjects (M/F: 1922/1583) were underwent a routine medical checkup at one of five hospitals in Saga, Japan from January 2013 to December 2013. The others were 581 (M/F: 322/259) healthy young volunteers at the Saga Medical School from April 2007 to March 2013. The participants were asked to complete the frequency scale for the symptoms of gastroesophageal reflex disease (FSSG) questionnaire, undergo upper gastrointestinal endoscopy, and submit to a rapid urease test to diagnose Helicobacter pylori infection. Among the 4086 subjects, the 2414 who had no H. pylori infection and no positive endoscopic findings were enrolled in the study.ResultsSubjects’ average age was 46.9 ± 12.2 years, with males’ and females’ ages being almost equivalent. The total FSSG score were high in females compared to males (P < 0.01) and decreased significantly with aging (P < 0.05). Among the generations, FSSG scores were the highest for those 20–29 years old, and they were significantly decreased with ageing in both males and females (P < 0.05).ConclusionThe FSSG score was significantly higher in healthy Japanese females than in males, and the scores decreased with aging.

show abstract

Abdominal Migraine in a Middle-aged Woman

Cited by 8 publications

References 23 publications

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Pediatric abdominal migraine: current perspectives on a lesser known entity

Higher frequency of upper gastrointestinal symptoms in healthy young Japanese females compared to males and older generations

Contact Info

Product

Resources

About