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Joint Hypermobility and Headache: Understanding the Glue That Binds the Two Together – Part 1
Author(s) -
Neilson Derek,
Martin Vincent T.
Publication year - 2014
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.12418
Subject(s) - joint hypermobility , headaches , medicine , ehlers–danlos syndrome , migraine , hypermobility (travel) , connective tissue , dissection (medical) , surgery , anatomy , pathology , physical therapy
Background Heritable connective tissue disorders ( HCTD ) present with a wide array of findings, including headache. Because of their unusual substrate, headaches in HCTD can derive from both common and uncommon circumstances. Methods Literature review. Results E hlers– D anlos hypermobile type can be recognized by multiple joint findings and its tendency to progress to a multisystem chronic pain syndrome. E hlers– D anlos classic type also manifests joint laxity and similar pain complaints, but is differentiated by its skin laxity and fragility. E hlers– D anlos vascular type presents the most severe risk due to blood vessel and hollow organ rupture. M arfan syndrome demonstrates skeletal abnormalities, lens dislocations, and aortic root dilation that can result in dissection. Conclusions In a headache patient, recognizing the presence of an HCTD improves the strategy for diagnosis and management. A brief review of findings related to joints, skin, and arteries may prompt further investigation into the HCTD s.