The Superior Petrosal Sinus

Akobo, Seleipiri; Tubbs, R. Shane

doi:10.1016/b978-0-323-65377-0.00012-x

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…Because emissary veins carrying blood from the internal jugular veins collateralize with the external jugular vein at the skull base, subclavian vein obstruction may potentially impact flow in the internal jugular vein leading to downstream effects on drainage from the cavernous sinus around the eye and the superior and inferior petrosal sinuses that drain the inner ear 23,24 . The superior petrosal sinus sits over the trigeminal nerve and sometimes wraps around it creating a potential mechanism for the direct triggering of facial pain with venous congestion 25 . Moreover, the increasingly recognized role of the jugular venous system in regulating intracranial pressure may be a mechanism for headaches, particularly those triggered by postural changes [26][27][28] .…”

Section: Discussionmentioning

confidence: 99%

Treatment of thoracic outlet syndrome to alleviate chronic migraine headache

Randall,

Ahn,

Weber

et al. 2023

Preprint

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Background: Prior case reports have indicated that treating thoracic outlet syndrome (TOS) may relieve intractable migraine headaches, but the reported experience is limited. We report how a strategy to treat concurrent TOS can help relieve migraine headaches in patients with dual diagnoses. Methods: Retrospective chart review for diagnostic and interventional data on patients with migraine and TOS followed by a questionnaire to investigate specific migraine features and changes in headache burden before and after treatment of TOS. Results: 50 patients (48 women, 2 men, age = 43.9+/12.7years) with dual diagnoses of chronic migraine and venous TOS were included (20 migraine with aura, 28 migraine without aura, two hemiplegic migraines). Based on a chart review of available data, headaches had become chronic within one year of onset in 21 patients (42%) and included these characteristics: side-locked or greater headache ipsilateral to limb paresthesia (38/50 patients), presence of limb swelling (32/48 patients), and worsened by recumbency (32/38 patients). Interventions included physical therapy, percutaneous transluminal venoplasty, 1st rib removal, scalenectomy, pectoralis minor tenotomy, and vein patching. Thirty-two patients eventually needed surgery. Mean patient-reported improvement of headaches on the treated side was 72+/-26.7%; 12 patients experienced complete resolution of headaches after surgical treatment of TOS (follow-up 7.2+/-5.2 months). Questionnaire responders reported significant reductions in headache days (18.3+/-8.6 to 11.1+/-10.8 days/month, p<0.0016), severity (7.8+/2.5 to 5.4+/-2.9, p<0.00079), and need for emergency care (3.6+/-4.0 to 0.71+/-1.3 visits/year, p<0.0029) were noted by questionnaire responders after having had their TOS treated. Questionnaire responders and non-responders were not substantially different in underlying clinical features. Conclusions: Chronic migraines can be important manifestations of TOS. Early transition to a chronic state, headaches worsened by recumbency, and headaches with lateralized myofascial pain are clues to a contribution by TOS pathology.

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Section: Discussionmentioning

confidence: 99%

Treatment of thoracic outlet syndrome to alleviate chronic migraine headache

Randall,

Ahn,

Weber

et al. 2023

Preprint

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“…Could atmospheric pressure effects like “south winds,” affect the pressure in the inner ear, similar to how the hair cells in the lateral lines in fish detect pressure on their bodies ( 105 )? Could it appear that migraine emanates from the ear not because of a shared arterial supply between the trigeminal nerve and the inner ear but because of a shared venous drainage ( 106 , 107 )? While we stand on the shoulders of giants to see further, being mindful of where our big ideas came from can help us to look in the right direction.…”

Section: The Work Aheadmentioning

confidence: 99%

Spinning Through History: Evolution of the Concept of Vestibular Migraine

Cha

2023

Otology &Amp; Neurotology Open

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Vestibular migraine represents a growing public health problem, imposing enormous societal burdens in the form of patient suffering, loss of productivity, and direct healthcare costs. This raises the question of how we developed our ideas about vestibular migraine and how these ideas shape how we treat it. This review walks through the history of how our conceptualization of migraine and vestibular symptoms evolved, starting with clinical observations in ancient times, inclusion under the umbrella of Meniere’s disease, and then separation from Meniere’s disease with its own identity. Tradition, clinical observations, and diagnostic criteria developed by professional societies have played prominent roles in building our current concept of vestibular migraine. A review of the ideas that have shaped our current conception of vestibular migraine may help us to see which ones have stood the test of time and which ones should continue to evolve. As in other disciplines, we study history in medicine to be inspired, warned, and sometimes, to be freed.

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Update on Therapies for Mal de Débarquement Syndrome

Cha

2022

Curr Treat Options Neurol

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The Superior Petrosal Sinus

Cited by 4 publications

References 27 publications

Treatment of thoracic outlet syndrome to alleviate chronic migraine headache

Treatment of thoracic outlet syndrome to alleviate chronic migraine headache

Spinning Through History: Evolution of the Concept of Vestibular Migraine

Update on Therapies for Mal de Débarquement Syndrome

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