To the Editor.—
In the QUESTIONS AND ANSWERS section of The Journal, an inquiry was made regarding behavioral abnormalities and food sensitivity in a 4-year-old child.1 I found the consultant replies to be succinct and to the point, but I feel attention should be paid to possible neurological disorders. The case as presented was characterized by a symptom complex that included headache, abdominal pain, and mood changes. Such a picture could arise as a result of childhood migraine. At this age, an attack may take the form of an acute confusional state with or without other migrainous accompaniments.2 Dysphoria or mental status changes also can accompany basilar artery migraine.3 Such syndromes may be the first manifestations of this disorder in young children.2It would be of interest to know the age of the child at the onset of symptoms, whether there is a family history of
Kushner M. Effects of Food on Behavior. JAMA. 1984;252(24):3365–3366. doi:10.1001/jama.1984.03350240015016
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