Rothner AD. Migraine Variants in Children. Pediatr Ann. 2018 Feb 1;47(2):e50-e54. doi: 10.3928/19382359-20180126-02. PMID: 29446794.
“Complicated migraine includes syndromes with episodic, neurologic dysfunction that precede, accompany, or follow headache or occur in isolation without any accompanying
head pain. These patients may also experience the usual forms of migraine. The International Classification of Headache Disorders considers hemiplegic migraine and basilar migraine as forms of migraine with aura.20 Ophthalmic and retinal migraines are migraine subtypes.20 These disorders may have their onset in children but can persist
throughout life.”
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Gupta SN, Gupta VS, Fields DM. Spectrum of complicated migraine in children: A common profile in aid to clinical diagnosis. World J Clin Pediatr. 2015 Feb 8;4(1):1-12. doi: 10.5409/wjcp.v4.i1.1. PMID: 25664241; PMCID: PMC4318797.
“The individual syndrome of “complicated migraine” is classified by the International Headache Society (IHS) 2013 under the first three out of eleven subheadings of migraine Table 1[4]. This is primarily designed to provide for migraine the diagnostic codes for policymaking or for research. “Complications of the migraine” listed in the IHS classification 2013 should not be confused with complicated migraine. Status migrainosus is a complication of migraine with and without aura. They have their own distinct clinical profiles. Unlike complicated migraine, headache in migraine with and without aura is a prominent and persistent symptom, lasting for over 72 h. Therefore, status migrainosus should not be classified as complicated migraine.”
“In practice, most complicated migraine presents with the isolated sign or symptom. The isolated manifestation may occur independently, together, or in the midst of the migraine attack[18]. However, some may present with more than one neurologic or medical manifestation. Such patients should be screened for concomitant use of daily analgesic,
contraceptive pill, and elevated body mass index. The headache is not a presenting symptom of complicated migraine. However, headaches often coexist with attack of complicated migraine. Psychosomatic and autonomic presenting symptoms in migraines are commonly encountered but they are infrequently realized. These include palpitations, chest pain, depression, anxiety and panic disorders, and mood disorder. Young children may
present with episodic behavioral problems such as being inattentive, poor impulse control, irritable, and/or socially withdrawn. Rarely, hypomania has been reported[19]. In such situations, commonly alternative diagnoses other than migraine or no diagnosis is made.”
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