Sport and Exercise-induced Migraines

Nadelson, Craig

doi:10.1097/01.csmr.0000306516.25172.21

Cited by 20 publications

(13 citation statements)

References 28 publications

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“…To avoid exercise-induced migraine, it also seems reasonable to reduce other environmental trigger factors such as stress, as well as to consider proper sleep, good nutrition and hydration. 37 In our study we pointed out these facts before the baseline period began, and reminded the patients of them regularly during the study. Six out of 26 patients did not finish the study.…”

Section: Discussionmentioning

confidence: 84%

A Study to Evaluate the Feasibility of an Aerobic Exercise Program in Patients With Migraine

et al. 2009

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Section: Discussionmentioning

confidence: 84%

A Study to Evaluate the Feasibility of an Aerobic Exercise Program in Patients With Migraine

et al. 2009

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“…32 Thus, despite being potentially open in healthy people on a regular basis, the fact that healthy people are less likely to clot and < 3% of their cardiac output travels through these pathways prevents the majority of people from experiencing serious neurological consequences. Nevertheless, exercise is known to induce stroke and migraines in healthy young adults 37,45,62 with an increased incidence at altitude in otherwise healthy individuals. 1 Therefore, these vessels may play a pathophysiologic role in some healthy humans, but clearly more research in this area is needed.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary pathways and mechanisms regulating transpulmonary shunting into the general circulation: An update

Lovering

Elliott

Beasley

et al. 2010

Injury

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Embolic insults account for a significant number of neurologic sequelae following many routine surgical procedures. Clearly, these post-intervention embolic events are a serious public health issue as they are potentially life altering. However, the pathway these emboli utilize to bypass the pulmonary microcirculatory sieve in patients without an intracardiac shunt such as an atrial septal defect or patent foramen ovale, remains unclear. In the absence of intracardiac routes and large diameter pulmonary arteriovenous malformations, inducible large diameter intrapulmonary arteriovenous anastomoses in otherwise healthy adult humans may prove to be the best explanation. Our group and others have demonstrated that inducible large diameter intrapulmonary arteriovenous anastomoses are closed at rest but can open during hyperdynamic conditions such as exercise in more than 90% of healthy humans. Furthermore, the patency of these intrapulmonary anastomoses can be modulated through the fraction of inspired oxygen and by body positioning. Of particular clinical interest, there appears to be a strong association between arterial hypoxemia and neurologic insults, suggesting a breach in the filtering ability of the pulmonary microvasculature under these conditions. In this review, we present evidence demonstrating the existence of inducible intrapulmonary arteriovenous anastomoses in healthy humans that are modulated by exercise, oxygen tension and body positioning. Additionally, we identify several clinical conditions associated with both arterial hypoxemia and an increased risk for embolic insults. Finally, we suggest some precautionary measures that should be taken during interventions to keep intrapulmonary arteriovenous anastomoses closed in order to prevent or reduce the incidence of paradoxical embolism.

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“…Since these symptoms could mimic, in approximately 10% of these headaches, important pathologies, such as carotid dissection, artero-venous malformation, cerebral venus sinus thrombosis, seizures, subarachnoid or intraparenchymal haemorrhage [5], it was therefore mandatory to exclude a secondary form of headache in these patients.…”

Section: Discussionmentioning

confidence: 99%

Migraine with aura in the locker room: three case reports

et al. 2011

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It is well known that physical activity can aggravate the intensity of the headache, but the pathophysiological relationship between exertion and aura is still unknown. Anecdotal reports describe episodes of migraine preceded by head trauma and visual symptoms, migraine prodrome symptoms after unusually strenuous running with no subsequent head pain or recurrent attacks of hemiplegic migraine induced only by exertion. We describe the cases of three young men with recurrent episodes of migraine with aura occurring in the locker room shortly after a football match. Since the symptoms could mimic important pathologies in approximately 10% of these of headaches, it was mandatory to exclude a secondary form of headache in these patients. Several theories exist regarding the cause of primary exertional headache, but the pathogenesis of migraine triggered by physical activity has still not been identified. The present International Classification of Headache Disorders does not mention sport/exercise-induced migraine with aura episodes as primary headache. Since there are many cases described in the literature of migraine with aura triggered only by exercise, it may be helpful to specify, in the typical aura with migraine headache comments, that in some cases it can be exclusively triggered by sport/exercise.

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Sport and Exercise-induced Migraines

Cited by 20 publications

References 28 publications

A Study to Evaluate the Feasibility of an Aerobic Exercise Program in Patients With Migraine

A Study to Evaluate the Feasibility of an Aerobic Exercise Program in Patients With Migraine

Pulmonary pathways and mechanisms regulating transpulmonary shunting into the general circulation: An update

Migraine with aura in the locker room: three case reports

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