A rare cause of chronic headache that may be misdiagnosed as migraine: Chronic carbon monoxide poisoning

dc.contributor.authorKanburoglu, Mehmet Kenan
dc.contributor.authorÇizmeci, Mehmet Nevzat
dc.contributor.authorAkelma, Zülfikar
dc.date.accessioned2025-10-24T18:06:51Z
dc.date.available2025-10-24T18:06:51Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractDifferential diagnosis of primary headache disorders can be challenging for physicians. Although the association of headache with acute carbon monoxide intoxication is very well-defined, in refractory nonspecific headaches associated with chronic low dose exposure to carbon monoxide, CO intoxication is usually overlooked, mostly due to vague symptoms. Herein we present a 15-year-old female patient with chronic carbon monoxide poisoning who was undergoing two years of follow-up care for migraines. Chronic carbon monoxide intoxication may mimic the episodic nature and familial predisposition of migraine attacks. Normal carboxyhemoglobin levels do not exclude the diagnosis, and smoking is a confounding factor. In emergency rooms, patients presenting with headaches had higher levels of carboxyhemoglobin, but, as far as we know, there have been no studies investigating carboxyhemoglobin levels in migraine patients. Chronic carbon monoxide poisoning should be suspected in migraine patients, especially if the attacks occur during winter months. © 2017 Elsevier B.V., All rights reserved.
dc.identifier.doi10.5505/1304.7361.2014.00868
dc.identifier.endpage134
dc.identifier.issn1304-7361
dc.identifier.issue3
dc.identifier.scopus2-s2.0-84920576519
dc.identifier.scopusqualityN/A
dc.identifier.startpage132
dc.identifier.trdizinid232441
dc.identifier.urihttps://doi.rog/10.5505/1304.7361.2014.00868
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/232441
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3217
dc.identifier.volume14
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherEmergency Medicine Association of Turkey ersin.aksay@gmail.com
dc.relation.ispartofTurkiye Acil Tip Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzScopus_20251023
dc.subjectCarbon monoxide
dc.subjectEmergency
dc.subjectHeadache
dc.subjectMigraine
dc.subjectPediatric
dc.titleA rare cause of chronic headache that may be misdiagnosed as migraine: Chronic carbon monoxide poisoning
dc.typeArticle

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