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New-onset hemodialysis-related headache presenting as migraine aura
Affiliations- University of Catanzaro “Magna Graecia”, Department of Neurosurgery and Neurophysiopatology Unit, Viale Europa, Catanzaro, Italy
- University of Catanzaro “Magna Graecia”, Department of Nephrology and Dialysis, Viale Europa, Catanzaro, Italy
- University of Catanzaro “Magna Graecia” – School of Medicine and Surgery, Department of Neurosurgery, Viale Europa, Catanzaro, Italy
- University of Catanzaro “Magna Graecia” – School of Medicine and Surgery, Department of Life and Health Sciences, Viale Europa, Catanzaro, Italy
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Abstract
Hemodialysis headache (HDH) is an infrequent new-onset symptom, occurring mainly in old uremic patients. Type of pain is nonspecific, occurs during hemodialysis treatment, assuming features similar to tension-type headache and representing a problem, also as regards the therapy to be taken. International Headache Society (IHS) has placed this form of headache among the headaches disorders of homeostasis. We found a case of new-onset HDH in old uremic man, presenting with migraine aura features. A similar case has not been reported in literature, placing us some questions: why and how does this happen? What are the mechanisms involved? Role of trigeminal-vascular system and cortical spreading depression as regards the aura could be considered, through the activation of neuroinflammatory events, lastly causing migraine aura. Moreover, the administration of flunarizine strongly improved migraine symptoms in our patient, as happens in migraine syndromes. Definitely, this case leads us to think that some mechanisms involved in headaches will need to be further clarified.
Abstract
Hemodialysis headache (HDH) is an infrequent new-onset symptom, occurring mainly in old uremic patients. Type of pain is nonspecific, occurs during hemodialysis treatment, assuming features similar to tension-type headache and representing a problem, also as regards the therapy to be taken. International Headache Society (IHS) has placed this form of headache among the headaches disorders of homeostasis. We found a case of new-onset HDH in old uremic man, presenting with migraine aura features. A similar case has not been reported in literature, placing us some questions: why and how does this happen? What are the mechanisms involved? Role of trigeminal-vascular system and cortical spreading depression as regards the aura could be considered, through the activation of neuroinflammatory events, lastly causing migraine aura. Moreover, the administration of flunarizine strongly improved migraine symptoms in our patient, as happens in migraine syndromes. Definitely, this case leads us to think that some mechanisms involved in headaches will need to be further clarified.
Keywords
Hemodialysis headache, Migraine, Hemodialysis
About this articleTitle
New-onset hemodialysis-related headache presenting as migraine aura
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
419-420
Page views
243
Article views/downloads
450
DOI
10.1016/j.pjnns.2017.06.003
Bibliographic record
Neurol Neurochir Pol 2017;51(5):419-420.
Keywords
Hemodialysis headache
Migraine
Hemodialysis
Authors
Domenico Chirchiglia
Michele Andreucci
Attilio Della Torre
Serena Marianna Lavano
Pasquale Chirchiglia
Angelo Lavano
