Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Conoscere per riconoscere: una forma rara di emicrania

Knowing is recognising: a rare form of migrane

N. Di Dio, J. Lasagna, A. Gazzolo

Aprile 2026 - pagg. 259 -260 | DOI: 10.53126/MEB45259

Abstract
A 12-year-old competitive athlete was urgently hospitalised following an acute episode of severe headache, confusion, speech difficulties (dysarthria) and muscle weakness that began during physical activity. Despite the initial symptoms and some temporary anomalies in brain imaging and activity (EEG and MRI), blood tests and toxicological screenings were normal. The symptoms spontaneously and rapidly resolved after the administration of paracetamol. Given the family history and the clinical findings, the case was diagnosed as a complex migraine attack, likely triggered by intense exercise or environmental heat.
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Bibliografia

di riferimento • Bonemazzi I, Brunello F, Pin JN, et al. Hemiplegic Migraine in Children and Adolescents. J Clin Med. 2023;12(11):3783. Published 2023 May 31. doi: 10.3390/jcm12113783. • Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38(1):1-211. doi: 10.1177/ 0333102417738202. • Toldo I, Brunello F, Morao V, et al. First Attack and Clinical Presentation of Hemiplegic Migraine in Pediatric Age: A Multicenter Retrospective Study and Literature Review. Front Neurol 2019;10:1079. doi: 10.3389/fneur.2019.01079.