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Headache Attributed To Disorders Of Homeostasis.

D. Dodick, C. Bordini
Published 2010 · Medicine

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Publisher Summary This chapter outlines each disorder, as outlined by International Classification of Headache Disorders (ICHD-II), defines the operational diagnostic criteria associated with each, and provides updated information that has appeared subsequent to the evidence that served as the basis for these criteria. The use of the term “homeostasis” was felt to capture the range of disorders of homeostatic mechanisms affecting a variety of organ systems, including altered arterial blood gases, systemic arterial pressure, volume disturbances that occur as a result of dialysis, and disorders of endocrine function. Headache attributed to fasting and cardiac ischemia is also included in this category. Headache as a result of disturbances in arterial blood gas concentrations is well established, although it is often difficult to distinguish between the effects of hypoxia and hypercapnia. Morning headache may also be seen as part of a secondary headache syndrome such as medication overuse headache, in sleep-related breathing disorders other than sleep apnea, and in other primary sleep disorders such as periodic leg movements of sleep. A definitive diagnosis of sleep apnea headache requires overnight polysomnography. Headache commonly occurs in association with hypotension and dialysis disequilibrium syndrome. The disequilibrium syndrome may begin as headache and then progress to obtundation and finally coma, with or without seizures. This syndrome is relatively rare and may be prevented by changing dialysis parameters.
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