PEDBASE.org - The Pediatric Database - Detailed information of MIGRAINE VARIANT - THE RUSHES

MIGRAINE VARIANT - THE RUSHES

DEFINITION:

A migraine variant characterized by acute episodes where there is a perceived distortion of time in relation to both movement and speech.

EPIDEMIOLOGY:

incidence: ?
age of onset:
- childhood
risk factors:
- history of migraines in patients and/or relatives

PATHOGENESIS:

1. Background

first reported by J. Dooley, K. Gorden, and P. Camfield, Clinical Pediatrics 29(9):536-538, (1990).
different from the "Alice in Wonderland Syndrome"

2. Pathogenesis

episodes may be migrainous in origin but are not associated with headaches

CLINICAL FEATURES:

1. The Rushes

begin and end abruptly
last from 1-30 minutes
recurrent and may persist for years
episodes involve stereotypic hallucinations of time:
- movement in the surrounding environment is faster than normal
- speech is faster and/or louder than normal
- patients speech is faster or slower than normal
- objects in the environment may seem larger or smaller
consciousness is not altered during an episode
not associated with a headache or migraine

INVESTIGATIONS:

1. EEG

may be normal or associated with some focal spikes

MANAGEMENT:

1. Supportive

reassurance of the benign nature of these episodes

Pediatric Database - MIGRAINE VARIANT - THE RUSHES

Pediatric Organization - Pedbase [at] Gmail.com