Trigeminal Autonomic Cephalgias Due to Structural Lesions

Favier, Irene; Vliet, Jorine A van; Roon, Krista I.; Witteveen, Ron J. W.; Verschuuren, Jan J.; Ferrari, Michel D.; Haan, Joost

doi:10.1001/archneur.64.1.25

Cited by 140 publications

(102 citation statements)

References 53 publications

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“…Sometimes the term "cluster-like" headache is used because the characteristics of the pain do not always completely fulfil the ICHD-II diagnostic criteria [2] for episodic or chronic CH [3]. However, even in patients fulfilling all diagnostic criteria, intracranial lesions may be discovered [4].…”

Section: Introductionmentioning

confidence: 99%

Cluster headache attacks and multiple sclerosis

et al. 2007

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We report the case of a patient who developed typical cluster headache attacks and was diagnosed as having multiple sclerosis (MS) at the same time. The headache attacks resolved after i.v. treatment with methylprednisolone. MR imaging showed a pontine demyelinating lesion involving the trigeminal nerve root inlet area, on the same side as the pain. The association between cluster headache and MS has been rarely described before. This case suggests that in patients with cluster headache neuroimaging is often useful in order to exclude structural lesions.

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Section: Introductionmentioning

confidence: 99%

Cluster headache attacks and multiple sclerosis

et al. 2007

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“…They need appropriate investigations to be identified, such as neuroimaging assessment and cerebral angiography [35].…”

Section: Discussionmentioning

confidence: 99%

Cluster headache and intracranial aneurysm

et al. 2007

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In the present study we describe the cases of two patients with cluster-like headache related to intracranial carotid artery aneurysm. One of these patients responded to verapamil prescription with headache resolution. In both cases the surgical clipping of the aneurysm resolved the cluster pain. These findings strongly suggest a pathophysiological link between the two conditions. The authors discuss the potential pathophysiological mechanisms underlying cluster-like headache due to intracranial carotid artery aneurysm.

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“…[7][8][9][10] Several reports have described the association of trigeminal autonomic cephalalgia-like headache with intracranial lesions, 11) multiple sclerosis, 12) or posttraumatic head injury. 13) In this report, we present a patient who developed cluster headache-like facial pain after the extraction of ipsilateral molars, which was responsive to combination therapy of sumatriptan and prednisolone, or verapamile.…”

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confidence: 99%

Cluster Headache-like Facial Pain following Dental Extraction: A Case Report

Byun¹,

Jung²,

Choi

2014

Journal of Oral Medicine and Pain

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A 50-year-old female patient with severe unilateral pain in the right eye, head, and face accompanied by lacrimation and drooping of the right eye and rhinorrhea from the right nose, which developed immediately after extraction of the maxillary right first and second molars, was successfully treated with oral administration of sumatriptan and prednisolone, or verapamile. Although the clinical characteristics are similar to those reported in cluster headache except the temporal feature, the probable cluster headache, the hemicrania continua and the acute migraine headache should be included in the list of differential diagnoses. In this report, we present a patient who developed cluster headache-like facial pain after the extraction of ipsilateral molars, which was responsive to combination therapy of sumatriptan and prednisolone, or verapamile. CASE REPORTA 50-year-old female patient was sent from a local dental clinic to the Department of Oral Medicine, Kyungpook National University Hospital. The patient has had severe excruciating pain in the right eye and the right ear and severe pricking, stabbing, or aching pain in the right side of the face, the head, and the neck. The pain was quite continuous, not remitting all through the day, so the patient appeared anxious, restless, and agitated during initial examination. She also complained that the pain was accompanied by lacrimation and drooping eyelid of the right eye,

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Trigeminal Autonomic Cephalgias Due to Structural Lesions

Cited by 140 publications

References 53 publications

Cluster headache attacks and multiple sclerosis

Cluster headache attacks and multiple sclerosis

Cluster headache and intracranial aneurysm

Cluster Headache-like Facial Pain following Dental Extraction: A Case Report

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