Migraine Headache

Confusional Migraine Begins With a Sudden Bout of Headache

Confusional migraine is a migraine attack in which the patient is unable to maintain his normal sense of communication. It may be inattention, difficulty in speech and listening and other motor activities. The patient might be in such a state for 10 minutes or 20 hours and then succumb to deep sleep. Confusional migraine is mostly found in children below the puberty age and is very rare in post pubertal adolescence or adults.

Confusional migraine is usually a development in patients who are suffering from migraine headaches for quite sometime. The attack occasionally begins with a sudden bout of headache and is almost like a blow. Single blows are most common while multiple blows are very rare. Confusional migraine occurs in about 5% of patients who suffer from migraine. Though there is less chance of reoccurrence in the case of Confusional migraines, the underlying migraine ailment must be treated as soon as possible.

In some severe cases such as Confusional migraine, the attack might occur many times in a month. In that event, a drug regimen known as prophalctic medication is recommended. This includes beta blockers, tricyclics. There is another kind of treatment called abortive therapy which includes the drugs like Midrin, Imitrex and Zomig.

The diagnosis can be completed only after an episode of the attack has been fully resolved and all other possibilities such as encephalopathy, tumors, etc have been ruled out by respective tests.

The occurrence of a Confusional migraine attack might be anytime in a migraine patient. In very rare cases, it is frequent and known as Acute Confusional Migraine. It usually does not have nay warning signs and the time period of this attack cannot be predicted. The symptoms are visually very frightening and therefore may lead to some chaotic situation for the person. So, it is recommended that a medical alert bracelet which available nowadays is used by the patient. A person suffering from such an attack must confine himself in a cool, dark and quiet place to sleep. Treatment of the underlying migraine is the only way of reducing the possibility of such an attack.