Trigemino-autonomic headache related to Gasperini syndrome

Vesza, Zsófia; Várallyay, György; Szőke, Kristóf; Bozsik, György; Manhalter, Nóra; Bereczki, Dániel; Ertsey, Csaba

doi:10.1007/s10194-010-0251-y

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…There are many diseases that are initially diagnosed as PH and subsequently revised, based on subsequent neuroimaging evidence, as other diagnoses. These includes strokes involving the brainstem, arterio-venous malformations, meningiomas, bulking pituitary lesions, vascular loops encompassing the trigeminal nerve and Moya-Moya disease [4][5][6][7][8][9][10][11][12][13]. Strokes are known to be more common in the geriatric population, whom constitute 53.4% of all adult strokes [14].…”

Section: Introductionmentioning

confidence: 99%

Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

2020

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Background Paroxysmal hemicrania has not been associated with ipsilateral weakness, loss of sensation and Horner’s syndrome. This report is the first of its kind documented in literature. Case presentation This was an elderly, sixty-five-year-old Chinese male who presented with a headache fulfilling criteria of paroxysmal hemicrania and was found to have signs of ipsilateral conjunctival injection, Horner’s syndrome, weakness and loss of sensation; with resolution of the patient’s physical signs after relief of the headache. Brain magnetic resonance imaging did not show any strokes or other headache mimics. The patient had a marked response to indomethacin and a decrease of headache intensity and frequency with indomethacin prophylaxis. Conclusions Paroxysmal hemicrania has joined the list of stroke chameleons and that it would be one of the differentials in a patient with hemiplegia, hemisensory loss, autonomic signs and severe headache. It suggests that paroxysmal hemicrania in the elderly present atypically.

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Section: Introductionmentioning

confidence: 99%

Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

2020

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“…Gasperini syndrome (GS) is a rare alternating brainstem syndrome resulting from a lesion in the caudal pontine tegmentum. After its first description in 1912 [ 1 ], there have only been 18 reported cases [ 2 , 3 , 4 , 5 , 6 , 7 , 8 ]. While this syndrome is characterized by ipsilateral peripheral facial palsy, abducens nerve palsy, hypacusis, facial sensory loss, and contralateral hemisensory loss [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ], its definition is still ambiguous.…”

Section: Introductionmentioning

confidence: 99%

Gasperini Syndrome: A Case Report and Systematic Review and Proposing a New Definition

et al. 2020

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Gasperini syndrome (GS), a rare brainstem syndrome, is featured by ipsilateral cranial nerves (CN) V–VIII dysfunction with contralateral hemibody hypoesthesia. While there have been 18 reported cases, the GS definition remains ambiguous. We report a new case and reviewed the clinical features of this syndrome from all published reports to propose a new definition. A 57-year-old man with acute brainstem stroke had right CN V–VIII and XII palsies, left body hypoesthesia and ataxia. Brain MRI showed an acute stroke in the right caudal pons and bilateral cerebellum. After a systematic review, we classified the clinical manifestations into core and associate features based on the frequencies of occurring neurological deficits. We propose that a definitive GS requires the presence of ipsilateral CN VI and VII palsies, plus one or more of the other three core features (ipsilateral CN V, VIII palsies and contralateral hemibody hemihypalgesia). Additionally, GS, similar to Wallenberg’s syndrome, represents a spectrum that can have other associated neurological features. The revised definition presented in this study may enlighten physicians with the immediate recognition of the syndrome and help improve clinical localization of the lesions and its management.

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Gasperini's Syndrome: Its Neuroanatomical Basis Now and Then

Tacik

Alfieri

Kornhuber

et al. 2012

Journal of the History of the Neurosciences

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Crossed brainstem syndromes consist of ipsilateral impairment of cranial nerves III-XII and contralateral impairment of the pyramidal and sensory tracts. Gasperini's syndrome, described in 1912 by the Italian internist Ubaldo Gasperini, is one of them. It results from a lesion of the caudal pontine tegmentum and is most frequently defined as ipsilateral impairment of cranial nerves V, VI, VII, and VIII and contralateral sensory loss. Since no autopsy was performed to confirm Gasperini's clinical observations, we analyzed all elements of his syndrome from a current perspective as well as in the light of the anatomical knowledge available to him. This resulted in a historical survey of the development of neuroanatomy over the last 300 years.

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Trigemino-autonomic headache related to Gasperini syndrome

Cited by 3 publications

References 20 publications

Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

Gasperini Syndrome: A Case Report and Systematic Review and Proposing a New Definition

Gasperini's Syndrome: Its Neuroanatomical Basis Now and Then

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