Recurrent syncope during migraine attacks

Bibliographic Details
Main Author: Dias Da Costa, Mariana
Publication Date: 2024
Other Authors: Nunes Vicente, Beatriz, Dourado Sotero, Filipa, Martins, Isabel Pavão
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10400.5/99051
Summary: © Copyright (c) 2024 Acta Médica Portuguesa. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.
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network_name_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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spelling Recurrent syncope during migraine attacksSíncopes recorrentes durante crises de enxaquecaAtrioventricular blockMigraine disordersComplicationsSyncope© Copyright (c) 2024 Acta Médica Portuguesa. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.Migraine is a cyclic condition with attacks consisting mainly of intense headaches, sensory intolerance, and nausea or vomiting. Loss of consciousness during attacks is often attributed exclusively to a neurally mediated reflex to pain, although it may also be due to migraine's autonomic impairment, with cardiac conduction abnormalities, probably in relation to a degree of reduced sympathetic function. We report the case of a 51-year-old woman presenting episodes of syncope exclusively after vomiting during migraine attacks. A 24-hour Holter monitoring performed during a migraine attack disclosed an intermittent complete atrioventricular block coincident with an episode of syncope. The patient was implanted with a pacemaker without further syncopes on subsequent attacks. This case highlights the importance of clinical suspicion and investigation of syncope during migraine attacks. Recurrent syncope during migraine should not be attributed to pain to avoid misdiagnosis and ensure the treatment of other important causes of syncope.Ordem dos MédicosRepositório da Universidade de LisboaDias Da Costa, MarianaNunes Vicente, BeatrizDourado Sotero, FilipaMartins, Isabel Pavão2025-03-06T15:47:59Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.5/99051engActa Med Port. 2025 Mar 3;38(3):182-1840870-399X10.20344/amp.221341646-0758info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T16:35:24Zoai:repositorio.ulisboa.pt:10400.5/99051Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T04:21:00.597305Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Recurrent syncope during migraine attacks
Síncopes recorrentes durante crises de enxaqueca
title Recurrent syncope during migraine attacks
spellingShingle Recurrent syncope during migraine attacks
Dias Da Costa, Mariana
Atrioventricular block
Migraine disorders
Complications
Syncope
title_short Recurrent syncope during migraine attacks
title_full Recurrent syncope during migraine attacks
title_fullStr Recurrent syncope during migraine attacks
title_full_unstemmed Recurrent syncope during migraine attacks
title_sort Recurrent syncope during migraine attacks
author Dias Da Costa, Mariana
author_facet Dias Da Costa, Mariana
Nunes Vicente, Beatriz
Dourado Sotero, Filipa
Martins, Isabel Pavão
author_role author
author2 Nunes Vicente, Beatriz
Dourado Sotero, Filipa
Martins, Isabel Pavão
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Dias Da Costa, Mariana
Nunes Vicente, Beatriz
Dourado Sotero, Filipa
Martins, Isabel Pavão
dc.subject.por.fl_str_mv Atrioventricular block
Migraine disorders
Complications
Syncope
topic Atrioventricular block
Migraine disorders
Complications
Syncope
description © Copyright (c) 2024 Acta Médica Portuguesa. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-01-01T00:00:00Z
2025-03-06T15:47:59Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.5/99051
url http://hdl.handle.net/10400.5/99051
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Acta Med Port. 2025 Mar 3;38(3):182-184
0870-399X
10.20344/amp.22134
1646-0758
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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