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Published on: June 2, 2014
[Catecholamines in migraine and other paroxysmal conditions in children]
Insights
Children with migraine showed altered adrenaline and noradrenaline excretion, differing from those with epilepsy or syncopes. These catecholamine changes may aid in diagnosing paroxysmal crises in vegetovascular dystonia.
Area of Science:
- Pediatric Neurology
- Endocrinology
- Clinical Chemistry
Background:
- Migraine, epilepsy, and syncopes are common paroxysmal conditions in children.
- Diurnal catecholamine excretion patterns are not well-established for these pediatric conditions.
- Vegetovascular dystonia is often associated with these paroxysmal events.
Purpose of the Study:
- To investigate the diurnal excretion patterns of adrenaline and noradrenaline in children with migraine, epilepsy, and syncopes.
- To compare these excretion patterns with healthy controls.
- To determine if catecholamine levels can aid in diagnosing paroxysmal crises.
Main Methods:
- Study included children aged 7-14 years with migraine (n=33), epilepsy (n=21), and syncopes (n=13).
- Diurnal urine excretion of adrenaline and noradrenaline was measured using fluorometry.
- Data were compared between patient groups and with control data.
Main Results:
- Children with epilepsy and syncopes showed reduced adrenaline excretion; noradrenaline levels were similar to controls.
- Migraine patients exhibited significantly lower adrenaline and higher noradrenaline excretion.
- The ratio of adrenaline to noradrenaline was significantly altered in migraine patients.
Conclusions:
- Altered adrenaline and noradrenaline excretion patterns are observed in children with migraine.
- Changes in catecholamine excretion may serve as an additional diagnostic criterion for paroxysmal crises in vegetovascular dystonia.
- Further research is warranted to elucidate the role of catecholamines in these pediatric neurological conditions.
Abstract:
A study was made of the diurnal excretion of adrenaline and noradrenaline in children aged 7 to 14 years suffering from migraine (n = 33), epilepsy (n = 21), and from syncopes (n = 13). For that purpose use was made of fluorometry. The patients with epilepsia and syncopes manifested a fall of adrenaline excretion; noradrenaline excretion correlated with the control data. The children suffering from migraine demonstrated a statistically significant reduction of adrenaline excretion and a rise of noradrenaline excretion, leading to dramatic changes in the amines ratio. Therefore, in patients suffering from vegetovascular dystonia with paroxysmal crises, measurements of adrenaline and noradrenaline excretion may serve an additional criterion for making correct diagnosis.
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