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Published on: September 21, 2018
Autonomic dysfunction in pediatric patients with headache: migraine versus tension-type headache
Jonathan Rabner1,2, Alessandra Caruso3,4,5, David Zurakowski3,6
1Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA. Jonathan.Rabner@childrens.harvard.edu.
Purpose:
To examine symptoms indicating central nervous system (CNS) autonomic dysfunction in pediatric patients with migraine and tension-type headache.
Methods:
A retrospective chart review assessed six symptoms (i.e. constipation, insomnia, dizziness, blurry vision, abnormal blood pressure, and cold and clammy palms and soles) indicating central nervous system (CNS) autonomic dysfunction in 231 patients, ages 5-18 years, diagnosed with migraine, tension-type headache (TTH), or Idiopathic Scoliosis (IS).
Results:
Higher frequencies of "insomnia," "dizziness," and "cold and clammy palms and soles" were found for both migraine and TTH patients compared to the IS control group (P < 0.001). Frequencies of all six symptoms were greater in TTH than migraine patients with "cold and clammy palms and soles" reaching significance (P < 0.001).
Conclusions:
The need for prospective research investigating autonomic dysfunction in pediatric headache patients is discussed.
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