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An Important Pediatric Stroke Mimic: Hemiplegic Migraine

机译:一个重要的小儿犬模仿:偏瘫偏头痛

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摘要

Stroke is relatively rare in children but has become increasingly recognized clinically. Hemiplegic migraine (HM) is a rare subtype of migraine, with attacks typically beginning in childhood or adolescence. Attacks are characterized by migraine headaches and motor weakness, which develop over several minutes. HM may therefore mimic acute stroke; however, symptoms last less than an hour and resolve spontaneously, often without sequela.(1-4) Distinction between these entities is important due to their different urgency and management. Neuroimaging is indispensible in working up patients presenting to the Emergency Department with stroke-like symptoms and can be used to distinguish between infarction and HM.
机译:中风在儿童中相对较少,但临床上越来越越来越认识。 偏瘫偏头痛(HM)是偏头痛的罕见亚型,通常在儿童或青春期开始攻击。 攻击的特点是偏头痛头痛和电机弱点,这在几分钟内发展。 因此,HM可能模拟急性卒中; 然而,症状持续不到一小时并自发地解决,通常没有后遗症。(1-4)这些实体之间的区别由于其不同的紧迫性和管理。 Neuroomaging在致法患者患有卒中症状的患者方面是不可或缺的,并且可以用来区分梗死和HM。

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