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Confusional headache

My son is 13 years old, he complained of  a severe headache last week, it went away after a few hours, the next day he was out skateboarding with friends and he said he felt dizzy, he wasn't sure where he was and he saw things that weren't there like an old lady walking a cat and several school buses driving by, he had another a episode like that tonight, it only last for a few minutes but it scares him. What could this be? Does this sound like a confusional migraine? Please let me know. Thanks Jane
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MEDICAL PROFESSIONAL
Dear Jane, welcome to the medhelp forum. Your son has not been suffering from any viral upper respiratory tract infection or sinusitis; there is no history of trauma or head injury. The symptoms appear to be migraine related. The presentation in adolescents is typical. Headache begins gradually, intensifies and lasts a few hours. it may be worsened by motion, physical exertion or head movement.  Other associated symptoms may be present like loss of consciousness, motion sickness with an occasional positive family history. The confused state that he described seeing unrelated visions could be the aura. Consult a pediatrician for a detailed evaluation. Certain systemic conditions need to be ruled out like sickle cell disease and immune deficiency. You can keep a track of possible headache triggers and associations to be avoided In future. Pharmacological treatment includes abortive and prophylactic as prescribed by the doctor. Wish you all the best.

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Thank you very much! Jane
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