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A Case of Postural Orthostatic Tachycardia Syndrome Associated with Migraine and Fibromyalgia

  • Yun, Dong Joo (Department of Neurology, Eulji University School of Medicine) ;
  • Choi, Han Na (Department of Neurology, Eulji University School of Medicine) ;
  • Oh, Gun-Sei (Department of Neurology, Eulji University School of Medicine)
  • Received : 2013.02.22
  • Accepted : 2013.02.25
  • Published : 2013.07.01

Abstract

Postural orthostatic tachycardia syndrome (POTS) refers to the presence of orthostatic intolerance with a heart rate (HR) increment of 30 beats per minute (bpm) or an absolute HR of 120 bpm or more. There are sporadic reports of the autonomic nervous system dysfunction in migraine and fibromyalgia. We report a case of POTS associated with migraine and fibromyalgia. The patient was managed with multidisciplinary therapies involving medication, education, and exercise which resulted in symptomatic improvement. We also review the literature on the association between POTS, migraine, and fibromyalgia.

Keywords

References

  1. Piovesan EJ, Sobreira CF, Scola RH, Lorenzoni PJ, Lange MC, Werneck LC, et al. Episodic migraine associated with postural orthostatic tachycardia syndrome and vasovagal syncope: migraine triggers neuromediated syncope. Arq Neuropsiquiatr 2008; 66: 77-9. https://doi.org/10.1590/S0004-282X2008000100018
  2. Staud R. Autonomic dysfunction in fibromyalgia syndrome: postural orthostatic tachycardia. Curr Rheumatol Rep 2008; 10: 463-6. https://doi.org/10.1007/s11926-008-0076-8
  3. Low PA, Sandroni P, Joyner MJ, Shen WK. Postural tachycardia syndrome. In: Clinical autonomic disorders. 3rd ed. Edited by Low PA, Benarroch EE. Philadelphia, Lippincott Williams & Wilkins. 2008, pp 515-33.
  4. Shim JC. Fibromyalgia syndrome. J Korean Pain Soc 2004; 17: 80-7. https://doi.org/10.3344/kjp.2004.17.S.S80
  5. Yunus MB. Towards a model of pathophysiology of fibromyalgia: aberrant central pain mechanisms with peripheral modulation. J Rheumatol 1992; 19: 846-50.
  6. Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 2010; 62: 600-10. https://doi.org/10.1002/acr.20140
  7. Kim SM, Lee SH, Kim HR. Applying the ACR preliminary diagnostic criteria in the diagnosis and assessment of fibromyalgia. Korean J Pain 2012; 25: 173-82. https://doi.org/10.3344/kjp.2012.25.3.173
  8. de Tommaso M, Sardaro M, Serpino C, Costantini F, Vecchio E, Prudenzano MP, et al. Fibromyalgia comorbidity in primary headaches. Cephalalgia 2009; 29: 453-64. https://doi.org/10.1111/j.1468-2982.2008.01754.x
  9. Bou-Holaigah I, Calkins H, Flynn JA, Tunin C, Chang HC, Kan JS, et al. Provocation of hypotension and pain during upright tilt table testing in adults with fibromyalgia. Clin Exp Rheumatol 1997; 15: 239-46.
  10. Kosinski M, Bayliss MS, Bjorner JB, Ware JE Jr, Garber WH, Batenhorst A, et al. A six-item short-form survey for measuring headache impact: the HIT-6. Qual Life Res 2003; 12: 963-74. https://doi.org/10.1023/A:1026119331193
  11. Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991; 18: 728-33.
  12. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
  13. Wieling W, Colman N, Krediet CT, Freeman R. Nonpharmacological treatment of reflex syncope. Clin Auton Res 2004; 14 Suppl 1: 62-70. https://doi.org/10.1007/s10286-004-1009-x
  14. Hermosillo AG, Jordan JL, Vallejo M, Kostine A, Marquez MF, Cardenas M. Cerebrovascular blood flow during the near syncopal phase of head-up tilt test: a comparative study in different types of neurally mediated syncope. Europace 2006; 8: 199-203. https://doi.org/10.1093/europace/eul001

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