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February 1, 1999Headache The Journal of Head and Face Pain

Autonomic Dysfunction in Migraineurs

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Why the study?

Do women with migraine have altered autonomic function and sympathovagal balance compared to healthy controls?

Population

33 women, comprising 17 suffering from migraine and 16 healthy controls.

Design

Case-control

Authors

AMAmnon MosekPain and Headache CenterVNVera NovakBeth Israel Deaconess Medical CenterTOTonette L. Opfer‐GehrkingMayo Clinic in Arizona

Discussion

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Implication

May indicate autonomic dysregulation in migraine with aura; hypothesis-generating and should not yet change practice.

Structured PICO

Do women with migraine have altered autonomic function and sympathovagal balance compared to healthy controls?

P
Population
33 women, comprising 17 suffering from migraine (8 with aura, average age 36 +/- 7 years) and 16 healthy controls (average age 34 +/- 7 years).
C
Comparator
Healthy controls
O
Outcome
Autonomic function and sympathovagal balance measured via sympathetic and parasympathetic function tests (quantitative sudomotor axon reflex test, Valsalva maneuver, handgrip, cold pressor test, head-up tilt, deep breathing)surrogate

Migraineurs with aura exhibit resting supine sympathetic hypofunction and increased sympathovagal balance during head-up tilt, suggesting dynamic autonomic alterations may contribute to aura development.

Cite This Study

Mosek et al. (1999) studied this question.

synapsesocial.com/papers/6a7ea648e7861671be8ec6f6https://doi.org/10.1046/j.1526-4610.1999.3902108.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autonomic Function Testing in Patients with Migraine1993 · 81 citations
  2. 2Autonomic Dysfunction in Migraine: A Survey of 188 Patients1988 · 59 citations
  3. 3Autonomic Dysfunction in Adult Migraineurs1986 · 54 citations
  4. 4Autonomic Nervous System Function in Migraine Without Aura1991 · 60 citations
  5. 5Endothelial and Autonomic Functions in Patients with Migraine2019 · 49 citations