Episodic Syndromes That May Be Associated with Migraine: Recurrent Gastrointestinal Disturbance
摘要
We present a case of migraine with recurrent gastrointestinal disturbance. At the age of 3 years and 5 months, the female patient began complaining of abdominal pain and subsequently developed migraines. She had a history of car sickness, and there was a family history of migraine with aura in her mother. At initial presentation, the patient was suffering from upper abdominal pain, which occurred one to three times a week and lasted between 10 min and 1 h. The pain was sometimes accompanied by diarrhea, vomiting, and headaches. She also showed symptoms of photophobia and phonophobia. She was diagnosed with recurrent abdominal pain. At age 6, the abdominal pain persisted. It was still accompanied by nausea but no vomiting or diarrhea. It was occasionally associated with headaches. At age 8, the patient began to experience severe, pulsating left temporal headaches. These were diagnosed as migraine without aura and responded well to acetaminophen. By age 9, the abdominal pain had ceased, but the headaches continued. At 15, she was experiencing headaches around twice a month. These were controlled with acetaminophen, with ongoing observation of her condition. She was diagnosed with recurrent gastrointestinal disturbance with migraine. If recurrent gastrointestinal problems are mild, a routine examination may not be necessary. This report discusses the relationship between recurrent gastrointestinal disturbance and migraine.