Prevention of Perioperative Abdominal Migraine in a Patient Undergoing Spinal Fusion: A Case Report.

Document Type

Article

Abstract

Abdominal migraine is a variant of migraine headaches characterized by episodic attacks of severe abdominal pain with migrainous features, including anorexia, nausea, vomiting, and pallor. It is more commonly diagnosed in children rather than adults. We describe a 74-year-old patient with progressively worsening back pain, severe neurogenic claudication, and a history of opioid-triggered abdominal migraine. As a precautionary measure, a perioperative opioid-sparing treatment plan was devised to prevent abdominal migraine while the patient underwent elective lumbar fusion surgery. Opioid-sparing treatment plans may enable similar patients to undergo surgery without experiencing perioperative abdominal migraines.

Medical Subject Headings

Abdomen; Abdominal Pain; Adult; Aged; Analgesics, Opioid; Child; Humans; Migraine Disorders; Spinal Fusion

Publication Date

6-10-2021

Publication Title

A A Pract

ISSN

2575-3126

Volume

15

Issue

6

First Page

01484

Last Page

01484

PubMed ID

34111041

Digital Object Identifier (DOI)

10.1213/XAA.0000000000001484

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