Jonathan Rabner1,2, Alessandra Caruso3,4,5, David Zurakowski3,6, Lori Lazdowsky3,5, Alyssa LeBel3,6,5. 1. Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA. Jonathan.Rabner@childrens.harvard.edu. 2. Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA. Jonathan.Rabner@childrens.harvard.edu. 3. Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA. 4. Department of Psychology, Clark University, 950 Main Street, Worcester, MA, USA. 5. Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA. 6. Department of Anaesthesia, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA.
Abstract
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.
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 migrainepatients with "cold and clammy palms and soles" reaching significance (P < 0.001). CONCLUSIONS: The need for prospective research investigating autonomic dysfunction in pediatric headachepatients is discussed.
Authors: Martin Repko; Drahomír Horký; Martin Krbec; Richard Chaloupka; Eva Brichtová; Irena Lauschová Journal: Childs Nerv Syst Date: 2008-01-11 Impact factor: 1.475