Most often seen in infants, children, and adolescents, thisprimary headache disorderis very rare.
The symptoms of confusional migraine, similar to those ofstroke, last anywhere from two hours to two days.
In these cases, the headache attacks are accompanied by neurological symptoms.

Verywell / Ellen Lindner
It can last anywhere from 15 minutes to three days.
Typically, this stage resolves within 24 hours, with most feeling drowsy afterward.
What Causes Confusional Migraine?
There arepharmaceutical options for both, as well as other medical approaches to confusional migraine.
Some lifestyle changes can help.
Some are available over-the-counter, while for others youll need a prescription.
Eventually, they learn to detect when distress or physical overexertion may be bringing on attacks.
With that knowledge, they can be proactive about managing migraines and help prevent them.
This may involve mindfulness techniques, meditation, breathing exercises, and learning other strategies to release tension.
However, this condition can be effectively managed.
Essential in all of this is to take a proactive approach.
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