PMID: 9642497Jun 27, 1998Paper

Peripheral autonomic potentials in primary headache and drug-induced headache

Cephalalgia : an International Journal of Headache
S EversI W Husstedt

Abstract

Autonomic functions of different primary headache types have been investigated in several studies, most of them analyzing cardiovascular reflex mechanisms or biochemical changes. The results are contradictory; only in tension-type headache and in cluster headache has a sympathetic hypofunction been shown in a preponderance of studies. We analyzed the peripheral autonomous potentials (PAPs) in different primary headache types and in drug-induced headache and compared the results with those of healthy subjects and of patients with low back pain. Latencies of PAPs were significantly increased in all headache types but not in low back pain; amplitudes of PAPs did not show significant differences compared to healthy subjects. Patients with a long duration of drug abuse had increased PAP latencies, whereas patients with a high number of migraine attacks per year had decreased latencies. Our data suggest that sympathetic hypofunction as measured by PAP latencies is a general phenomenon in headache but not in all pain syndromes. Drug abuse leads to an increase of this hypofunction. While measuring PAPs is not an appropriate method by which to differentiate between headache disorders, it allows assessment of autonomic disturbances in pr...Continue Reading

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Citations

Oct 26, 2001·Current Pain and Headache Reports·A Srikiatkhachorn
May 22, 2010·Current Pain and Headache Reports·Christina SjöstrandElisabet Waldenlind
Sep 8, 2010·Nature Reviews. Neurology·Tony W HoPeter J Goadsby
Jan 25, 2002·The New England Journal of Medicine·Peter J GoadsbyMichel D Ferrari
Dec 21, 2004·Cephalalgia : an International Journal of Headache·M J LevyP J Goadsby
Mar 27, 2007·Autonomic Neuroscience : Basic & Clinical·Serpil Kuyucu YildizFatma Tore
Apr 4, 2015·Cephalalgia : an International Journal of Headache·Ozlem AltiokkaAysun Soysal
Mar 16, 2007·Headache·Federico A SilvaPatricio López-Jaramillo
Jan 16, 2020·European Journal of Physical and Rehabilitation Medicine·Sarah Mingels, Marita Granitzer

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