Possible Involvement of Hypotension in Postprandial Headache: A Case Series.

Abstract:

BACKGROUND:It is commonly known that headaches are induced by intake of specific food, drink, and/or additive. In addition, some patients experience postprandial headache independent of ingestion of specific items. Currently, information on the pathophysiology underlying this particular type of headache is scarce. CASE REPORTS:We report two cases in which headaches were observed after each meal. Postprandial hypotension was demonstrated in both cases. Tonometry-based continuous blood pressure measurement during head-up tilt revealed sympathetic dysfunction. In one patient, meta-iodobenzylguanidine (MIBG) myocardial scintigraphy detected cardiac sympathetic denervation, and diagnosis of pure autonomic failure was made. In both cases, treatment of postprandial hypotension was effective in relieving postprandial headache. DISCUSSION:The possibility of postprandial hypotension should be explored in patients with headache that occurs after meal. To this end, tonometry-based blood pressure measurement and MIBG myocardial scintigraphy may be useful diagnostic investigations. Treating postprandial hypotension may be effective in alleviating the symptoms.

journal_name

Headache

journal_title

Headache

authors

Takizawa T,Shibata M,Hiraide T,Seki M,Takahashi S,Suzuki N

doi

10.1111/head.13136

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

1443-1448

issue

9

eissn

0017-8748

issn

1526-4610

journal_volume

57

pub_type

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