title: Autonomic dysfunction in pediatric patients with headache: migraine versus tension-type headache.
abstract: To examine symptoms indicating central nervous system (CNS) autonomic dysfunction in pediatric patients with migraine and tension-type headache.
  
  
  
  A 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).
  
  
  
  Higher 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).
  
  
  
  The need for prospective research investigating autonomic dysfunction in pediatric headache patients is discussed.
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA. Jonathan.Rabner@childrens.harvard.edu.|Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA. Jonathan.Rabner@childrens.harvard.edu.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Rabner
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA.|Department of Psychology, Clark University, 950 Main Street, Worcester, MA, USA.|Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Caruso
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA.|Department of Anaesthesia, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA.
authors.forename: David
authors.initials: D
authors.lastname: Zurakowski
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA.|Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Lazdowsky
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA.|Department of Anaesthesia, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA.|Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA.
authors.forename: Alyssa
authors.initials: A
authors.lastname: LeBel
mesh_terms: D000293:Adolescent; D001341:Autonomic Nervous System / Q000503:physiopathology*; D001342:Autonomic Nervous System Diseases / Q000175:diagnosis / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D004244:Dizziness / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000175:diagnosis / Q000503:physiopathology*; D012189:Retrospective Studies; D012600:Scoliosis / Q000503:physiopathology; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology; D011795:Surveys and Questionnaires; D013543:Sweat Gland Diseases / Q000150:complications; D013546:Sweating; D018781:Tension-Type Headache / Q000175:diagnosis / Q000503:physiopathology*
keywords: Autonomic nervous system; Dizziness; Migraine disorders; Pediatric; Sweating; Tension-type headache