Vertebrobasilar dolichoectasia and exertional headache.

Staikov, Ivan; Mattle, Heinrich

doi:10.1136/jnnp.57.12.1544

Cited by 16 publications

(9 citation statements)

References 2 publications

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“…In the remaining 10-15% of the cases, cough headache is generally the clinical manifestation of PCF conditions [3], such as metastasis, subdural hematoma [6], meningioma, mesencephalic cyst, basilar impression [7], pinealoma, cerebellar astrocytoma [8], pneumocephalus [9], and medulloblastoma [10]. Cases secondary to a condition of the middle cranial fossa (MCF), such as acute sphenoidal sinusitis [6], meningioma and chromophobe adenoma [8], or secondary to a vascular condition, such as unruptured intracranial aneurysms [11] and carotid [12] or vertebrobasilar [13] diseases, have been rarely reported.…”

Section: Discussionmentioning

confidence: 99%

Cough headache secondary to spontaneous intracranial hypotension complicated by cerebral venous thrombosis

et al. 2011

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Cough headache may be the clinical manifestation, sometimes isolated, of an intracranial disease. There are several possible causes of secondary cough headache. The hypothesis that cough headache may be the expression of spontaneous intracranial hypotension has been advanced only recently. In fact, this would represent an exception to the rule that cough headache is generally secondary to conditions leading to an increase in intracranial pressure and/or volume. We report and discuss a case of cough headache secondary to spontaneous intracranial hypotension in an otherwise healthy 59-year-old man. The condition was complicated by cerebral venous thrombosis.

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Section: Discussionmentioning

confidence: 99%

Cough headache secondary to spontaneous intracranial hypotension complicated by cerebral venous thrombosis

et al. 2011

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“…Associated symptoms or conditions observed are—exertional headache,17 basilar-type migraine,18 aneurysm,19 20 neoplasm, anterior circulation stroke/transient ischaemic attacks, hypertension, diabetes mellitus, hyperlipidaemia, coronary artery disease, gait imbalance and urinary incontinence 14…”

Section: Discussionmentioning

confidence: 99%

“…The radiological evaluation with MRI,1 MRA or CT exclude gross parenchymal involvement while histopathology has established the abnormality lying in the related vessels; which includes lesions like atheromatous plaques, disruption of the internal elastic membrane and fibrosis of the muscular wall, etc. The resultant is a diffuse deficiency of the muscular wall and the internal elastic membrane 17. A study in two brothers implied a genetic predisposition involving defects in arterial wall extracellular matrix components, as collagen, elastin, proteoglycans, laminin, etc, thus making these vessels susceptible to dilation 15.…”

Section: Discussionmentioning

confidence: 99%

Recurrent facial hemiparesis due to dolichoectatic vertebrobasilar artery: an unusual and ignored cause

Mishra

Chaurasia²,

Gupta

et al. 2013

BMJ Case Reports

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Dolichoectatic arteries are elongated tortuous aneurysms of intracranial arteries most commonly of vertebrobasilar tree presenting with ischaemic, haemorrhagic, thromboembolic lesions or with cranial nerve compression. The clinical presentation includes tic douloureux, neuralgia, tinnitus, vertigo, motor or sensory deficits, ataxia, dementia, Parkinsonism, hydrocephalus, headache, migraine, aneurysm, neoplasm, stroke/transient ischaemic attacks, leukoencephalopathy, central sleep apnoea and cerebellar dysfunctions. We present a case of recurrent facial nerve palsy secondary to vertebrobasilar dolichoectasia, an interesting and rare condition.

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“…Given the differential diagnosis outlined previously, every patient with cough headache should have an MRI of the brain to rule out a posterior fossa lesion. Despite scattered reports, there is not enough scientific background to support unruptured aneurysms [18], carotid stenosis [19,20], or vertebrobasilar disease [21] as specific causes for cough headache. Therefore, a magnetic resonance angiography study is not mandatory for these patients.…”

Section: Differential Diagnosismentioning

confidence: 98%

Primary cough headache

Pascual

2005

Current Science Inc

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Primary cough headache is defined as head pain brought on by coughing or other Valsalva maneuvers, but not by prolonged physical exercise, in the absence of any intracranial disorder. Primary cough headache is considered to be a rare condition, accounting for 0.4% of all headaches consulting our Neurology Department. Its pathophysiology remains a mystery. Primary cough headache is a sudden-onset headache that usually lasts from 1 second to 30 minutes, tends to be bilateral and posterior, does not begin earlier than the fifth decade of life, is more frequent in men, is not accompanied by other neurologic manifestations, and responds to indomethacin. These clinical characteristics allow its differential diagnosis from other entities, even though a craniocervical magnetic resonance imaging study is mandatory to rule out posterior fossa lesions, especially Chiari type-I malformation.

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Vertebrobasilar dolichoectasia and exertional headache.

Cited by 16 publications

References 2 publications

Cough headache secondary to spontaneous intracranial hypotension complicated by cerebral venous thrombosis

Cough headache secondary to spontaneous intracranial hypotension complicated by cerebral venous thrombosis

Recurrent facial hemiparesis due to dolichoectatic vertebrobasilar artery: an unusual and ignored cause

Primary cough headache

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