[P3-182] Variety of symptoms associated with migraine, a migraine variant and idiopathic stabbing headache
[Introduction] A primary headache can be correctly diagnosed if patients complain of a headache itself. However, some patients with predisposition of primary headache may lack the headache symptom, or may have extracephalic symptoms in addition to headache. It would be important to recognize aberrant clinical form of primary headache for accurate diagnosis. Here, we introduce case descriptions of patients with various symptoms of primary headaches.
[Cases] Six patients were included in this report based on the diagnostic criteria of meeting one of the followings: migraine, migraine equivalent (abdominal migraine), or idiopathic stabbing headache. Three patients were diagnosed with migraine, including two with associated body pain, and one with abdominal pain and “red ear.” Another patient was diagnosed with abdominal migraine without headache. The last two patients had idiopathic stabbing headache, including one reporting antecedent abdominal pain and concomitant body pain, and the other having stabbing body pain without headache at onset.
[Discussion] Primary headaches may lack core symptoms of a headache, and may be accompanied with various extracephalic symptoms. Diagnostic inquiry considering variability of symptoms of primary headaches would be a key for accurate diagnoses. This presentation may inspire physicians to recognize the peculiar phenomenon of primary headaches, which leads to better patient management.
[Cases] Six patients were included in this report based on the diagnostic criteria of meeting one of the followings: migraine, migraine equivalent (abdominal migraine), or idiopathic stabbing headache. Three patients were diagnosed with migraine, including two with associated body pain, and one with abdominal pain and “red ear.” Another patient was diagnosed with abdominal migraine without headache. The last two patients had idiopathic stabbing headache, including one reporting antecedent abdominal pain and concomitant body pain, and the other having stabbing body pain without headache at onset.
[Discussion] Primary headaches may lack core symptoms of a headache, and may be accompanied with various extracephalic symptoms. Diagnostic inquiry considering variability of symptoms of primary headaches would be a key for accurate diagnoses. This presentation may inspire physicians to recognize the peculiar phenomenon of primary headaches, which leads to better patient management.