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"Raynaud's disease" in migraineurs: one entity or two?
1Comprehensive Headache Center, Germantown Hospital and Medical Center, Philadelphia, PA 19144.
Headache
|October 1, 1992
Summary
Migraine and Raynaud's disease may stem from the same underlying disorder. Comprehensive treatment, including medication, biofeedback, and psychotherapy, effectively managed symptoms in two patients with concurrent diagnoses.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Migraine and Raynaud's disease are distinct conditions affecting neurological and vascular systems, respectively.
- Concurrent diagnoses present unique management challenges.
Observation:
- Two patients presented with co-occurring diagnoses of migraine and Raynaud's disease.
- Symptoms included severe headaches and episodic digital ischemia.
Findings:
- A multimodal treatment approach integrating medication, biofeedback, and psychotherapy was implemented.
- This comprehensive strategy led to effective control of both headaches and extremity temperature regulation.
Implications:
- The findings suggest a potential shared pathophysiology between migraine and Raynaud's disease.
- Combined treatment strategies, similar to those for migraine, may be beneficial for patients with both conditions.