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Case Reports
Prevention of Perioperative Abdominal Migraine in a Patient Undergoing Spinal Fusion: A Case Report.
- Nikolas R Monteferrante, Jacquelyn L Ho, Brian G Wilhelmi, and Juan S Uribe.
- From the Departments of Medical Education.
- A A Pract. 2021 Jun 10; 15 (6): e01484e01484.
AbstractAbdominal migraine is a variant of migraine headaches characterized by episodic attacks of severe abdominal pain with migrainous features, including anorexia, nausea, vomiting, and pallor. It is more commonly diagnosed in children rather than adults. We describe a 74-year-old patient with progressively worsening back pain, severe neurogenic claudication, and a history of opioid-triggered abdominal migraine. As a precautionary measure, a perioperative opioid-sparing treatment plan was devised to prevent abdominal migraine while the patient underwent elective lumbar fusion surgery. Opioid-sparing treatment plans may enable similar patients to undergo surgery without experiencing perioperative abdominal migraines.Copyright © 2021 International Anesthesia Research Society.
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