Orthostatic Headache in Children Including Postural Tachycardia... and Orthostatic Hypotension: A Near-Infrared Spectroscopy Study, 2020, Go et al.

[Mij]

Abstract
Background and aim: Although head and/or neck pain attributed to orthostatic hypotension is included in international guidelines, its mechanisms and relevance remain unknown. This study examined the term’s relevance and aimed to elucidate the associated clinical features. Methods: An active stand test was performed to evaluate fluctuations in systemic and cerebral circulation in children and adolescents reporting complaints in the absence of a confirmed organic disorder. The subjects were categorized based on orthostatic headache presence/absence, and their characteristics and test results were compared. Results: Postural tachycardia syndrome was observed in 50.0% of children with, and 55.1% without, orthostatic headache. For orthostatic hypotension, the respective values were 31.3% and 30.6%. A history of migraine was more prevalent in children with orthostatic headaches (64.1% vs. 28.6%; p < 0.01). The observed decrease in the cerebral oxygenated hemoglobin level was larger in children with orthostatic headaches (Left: 6.3 (3.2–9.4) vs. 4.1 (0.8–6.1); p < 0.01, Right: 5.3 (3.1–8.6) vs. 4.0 (0.8–5.9); p

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7767397/

 

[Amw66]

Look what you can find if you look for things...

OI was not a " thing" in paediatric ME/ CFS until Peter Rowe named and shamed at CMRC conference and is still difficult to be taken seriously .

Perhaps wider implications such as these may elicit a few lightbulb moments.

Interestingly my daughter had migraines pre ME , seemed to be hormonally triggered. Ages and sex may be interesting, so will delve later.

 

[Mij]

My migraines were genetic, my grandmother suffered terribly with them. They stopped after menopause.