title: The triad of luteal phase ocular migraines, interstitial cystitis, and dyspareunia as a result of sympathetic nervous system hypofunction.
abstract: OBJECTIVE
  To evaluate whether ocular migraines can be related to sympathetic nervous system hypofunction, especially when associated with interstitial cystitis and dyspareunia.
  
  
  METHODS
  Dextroamphetamine sulfate was administered to a 34-year-old woman with a history of long-term interstitial cystitis, dyspareunia, and ocular migraines that were resistant to all other therapies.
  
  
  RESULTS
  In a short length of time the sympathomimetic amine therapy almost completely abrogated all of her symptoms and they have remained controlled while she continues on the drug.
  
  
  CONCLUSIONS
  This is the first report of effectively treating ocular migraines with dextroamphetamine sulfate. The gynecologist should not be afraid to initiate therapy without referral to other specialists, especially if other symptoms of the sympathetic neural hyperalgesia edema syndromes exist, e.g., bladder pain of pelvic origin and dyspareunia.
authors: J H
authors: JH
authors: Check
authors: R
authors: R
authors: Cohen
mesh_terms: D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000150:complications* / Q000503:physiopathology; D018856:Cystitis, Interstitial / Q000209:etiology* / Q000503:physiopathology; D004414:Dyspareunia / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000188:drug therapy; D060486:Ophthalmoplegic Migraine / Q000209:etiology* / Q000503:physiopathology; D013564:Sympathetic Nervous System / Q000503:physiopathology*