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{
    "pk": 4918,
    "title": "Acute Confusional Migraines: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction: </strong>Acute confusional migraine (ACM) is a rare variant of migraine that is benign and self-resolving but difficult to diagnose. Without known causative pathophysiology and a lack of recognition in the International Classification of Headache Disorders (ICHD-3), ACM offers a puzzling clinical presentation. There currently is no standardized treatment for ACM, but with a growing anecdotal dataset there is the opportunity to formally recognize and establish protocols to improve patient care and outcomes.</p>\n<p><strong>Case Report:</strong> A 14-year-old female presented to the emergency department (ED) with acute onset of confusion, vision changes, right-sided weakness, and dysarthria one hour prior to arrival. A stroke workup at the initial ED offered no pertinent findings. The patient was transferred to a pediatric specialty ED where all symptoms, aside from numbness and a mild headache, resolved during transfer. After administration of a migraine cocktail at the pediatric specialty ED, all remaining symptoms completely resolved. The patient was discharged home from the ED the same evening with outpatient follow-up.</p>\n<p><strong>Conclusion: </strong>This case presents the difficulty of diagnosing and treating ACM prior to its self-resolution. It highlights the need for formal recognition of the condition by the ICHD-3. In doing so, greater recognition will promote more research, awareness, and establishment of a standardized treatment for ACM.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "pediatric"
        },
        {
            "word": "migraine"
        },
        {
            "word": "confusion"
        },
        {
            "word": "stroke"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8rm7x90k",
    "frozenauthors": [
        {
            "first_name": "Devin",
            "middle_name": "M.",
            "last_name": "Howell",
            "name_suffix": "",
            "institution": "Northwell Health, Department of Emergency Medicine, Huntington, New York",
            "department": ""
        },
        {
            "first_name": "Garrett",
            "middle_name": "",
            "last_name": "Lamouree",
            "name_suffix": "",
            "institution": "Binghamton University, Binghamton, New York",
            "department": ""
        }
    ],
    "date_submitted": "2023-11-05T00:24:00.288000-03:00",
    "date_accepted": "2024-01-18T21:21:28.219000-03:00",
    "date_published": "2024-05-14T09:00:00-04:00",
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        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/4918/galley/10846/download/"
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        {
            "label": "Final Article",
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}