Abstract
We report a child with abdominal migraine who presented with odontalgia. A 14-year-old boy developed pain in the right mandibular molar tooth and received pulpectomy. However, the pain did not improve. Computed tomography scan of the brain did not reveal abnormality. He was referred to our department. He complained that the pain was in the right maxillary and mandibular molar teeth. The pain occurred one to two times in the morning and night, lasting 2-3 hours. Precise history taking revealed there were scintillating scotomas before the onset of tooth pain accompanied by nausea, photophobia, and lacrimation. The pain and lacrimation disappeared after oral medication with zolmitriptan 2.5 mg in 10 minutes. He was referred to a headache specialist who noted that the child had had repeated bouts of upper abdominal pain and nausea and vomiting. He was diagnosed as having abdominal migraine.