1. A case-control study of visually evoked postural responses in childhood with primary headaches
- Author
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Simona Guerzoni, Carlo Baraldi, Luca Pani, Daniele Monzani, Luigi Alberto Pini, Chiara Gherpelli, and Matteo Alicandri Ciufelli
- Subjects
Adult ,Male ,medicine.medical_specialty ,Children ,Migraine ,Optokinetic stimulation ,Statokinesiogram ,Visually evoked postural response ,Neurology ,Nausea ,Migraine Disorders ,Stimulation ,Dermatology ,Audiology ,Dizziness ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,030212 general & internal medicine ,Child ,Postural Balance ,Balance (ability) ,Vestibular system ,business.industry ,Tension-Type Headache ,Posturography ,Headache ,Brain ,General Medicine ,medicine.disease ,Psychiatry and Mental health ,Case-Control Studies ,Female ,Neurology (clinical) ,Neurosurgery ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Disorientation, nausea, confusion, dizziness, and displacement are frequently complained by headache-suffering children. Anyhow, the cause of these symptoms is still unclear, and a dysfunction of vestibular pathways or their alteration due to central pain pathways hyper-activation, has been proposed. The aim of this study is to use posturography to explore the balance function of headache-suffering children during pain-free periods. Posturography was performed on 19 migraineurs, 11 tension-type headache sufferers, and 20 healthy controls. Posturographic measures were performed during headache-free periods under different conditions: with eyes opened, eyes closed, and during right and left optokinetic stimulation. The last 2 conditions were used to mimic unreliable visual signals that can confound vestibular system. During eyes-closed conditions, headache-suffering children displayed higher displacements than healthy controls, since statokinesiogram surface was higher in tension-type headache sufferers and migraineurs compared with controls (P value = 0.0095). Romberg’s index, indicating the overall stability of the subject, was lower in healthy controls than in headache sufferers (P = 0.0139), thus suggesting a vestibular impairment in the seconds. Moreover, both during right and left optokinetic stimulation, the statokinesiogram length was higher in headache-suffering children (P
- Published
- 2019