{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:09:39Z","timestamp":1788476979809,"version":"build-2803163510"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: Acute confusional migraine (ACM) is a rare variant of migraine that is benign and self-resolving but dif\ufb01cult to diagnose. Without known causative pathophysiology and a lack of recognition in the International Classi\ufb01cation 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. Case Report: 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 \ufb01ndings. 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. Conclusion: This case presents the dif\ufb01culty 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>","DOI":"10.5811\/cpcem.4918","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T14:39:30Z","timestamp":1715697570000},"source":"Crossref","is-referenced-by-count":1,"title":["Acute Confusional Migraines: A Case Report"],"prefix":"10.5811","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3643-1051","authenticated-orcid":false,"given":"Devin M.","family":"Howell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett","family":"Lamouree","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2024,5,14]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt8rm7x90k\/qt8rm7x90k.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:55:14Z","timestamp":1776279314000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/8rm7x90k"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,14]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,8,9]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.4918","relation":{},"ISSN":["2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,14]]}}}