Abdominal migraine is a disorder primarily of children which presents with episodes of abdominal pain without an accompanying headache. It is difficult to confirm the diagnosis as there are not a set of features that is specific and thus it can take time before the diagnosis is made. The condition is rare in adults.
The diagnosis of is controversial. Diagnostic criteria from the ICHD2 are:
- A. At least 5 attacks fulfilling criteria B-D.
- B. Attacks of abdominal pain lasting 1-72 hours (untreated or unsuccessfully treated)
- C. Abdominal pain has all of the following characteristics:
- 1. midline location, periumbilical or poorly localized
- 2. dull or "just sore" quality
- 3. moderate or severe intensity
- D. During abdominal pain at least 2 of the following:
- 1. anorexia
- 2. nausea
- 3. vomiting
- 4. pallor
- E. Not attributed to another disorder
— International Classification of Headache Disorders
This condition was first described in 1921 by Buchanan.
- Russell, G; Abu-Arafeh, I; Symon, DN (2002). "Abdominal migraine: evidence for existence and treatment options.". Paediatric drugs 4 (1): 1–8. doi:10.2165/00128072-200204010-00001. PMID 11817981.
- Cuvellier, JC; Lépine, A (Jan 2010). "Childhood periodic syndromes.". Pediatric neurology 42 (1): 1–11. doi:10.1016/j.pediatrneurol.2009.07.001. PMID 20004856.
- Catto-Smith, AG; Ranuh, R (Nov 2003). "Abdominal migraine and cyclical vomiting.". Seminars in pediatric surgery 12 (4): 254–8. doi:10.1053/j.sempedsurg.2003.08.006. PMID 14655164.
- Davidoff, Robert A. (2002). Migraine : manifestations, pathogenesis, and management (2nd ed.). Oxford [u.a.]: Oxford Univ. Press. p. 81. ISBN 9780195137057.
- Headache Classification Subcommittee of the International Headache Society (2004). "The International Classification of Headache Disorders, 2nd Edition" (PDF). Cephalagia (Oxford, England, UK: Blackwell Publishing) 24 (Supplement 1). ISSN 0333-1024. Retrieved 4 September 2009.
- Noe, JD; Li, BU (May 2009). "Navigating recurrent abdominal pain through clinical clues, red flags, and initial testing.". Pediatric annals 38 (5): 259–66. PMID 19476298.
- Tepper, edited by Stewart J. Tepper, Deborah E. The Cleveland Clinic manual of headache therapy. New York: Springer. p. 96. ISBN 9781461401780.