• Clin. Auton. Res. · Dec 2016

    Autonomic dysfunction in pediatric patients with headache: migraine versus tension-type headache.

    • Jonathan Rabner, Alessandra Caruso, David Zurakowski, Lori Lazdowsky, and Alyssa LeBel.
    • Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA. Jonathan.Rabner@childrens.harvard.edu.
    • Clin. Auton. Res. 2016 Dec 1; 26 (6): 455-459.

    PurposeTo examine symptoms indicating central nervous system (CNS) autonomic dysfunction in pediatric patients with migraine and tension-type headache.MethodsA 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).ResultsHigher 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).ConclusionsThe need for prospective research investigating autonomic dysfunction in pediatric headache patients is discussed.

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