Document Detail

Resolution of cluster headache after closure of an anterior communicating artery aneurysm: the role of pericarotid sympathetic fibres.
MedLine Citation:
PMID:  16412843     Owner:  NLM     Status:  MEDLINE    
We report the case of a patient suffering from migraine without aura since childhood who, at the age of 58 years, developed cluster headache (CH) attacks. This second type of headache was related to an aneurysm of the anterior communicating artery (ACoA) whose bursting caused subarachnoid haemorrhage. The aneurysm's clipping made the cluster headache subside and there was no recurrence for almost four years. However, nine months after haemorrhage, the patient experienced new migraine without aura attacks. As a pathogenetic interpretation of this secondary cluster headache, we discuss the possible role of pericarotid sympathetic nerves in cluster headache attacks. We suggest that the surgical dissection of the pericarotid sympathetic fibres could prevent the onset of the cluster headache attacks by cutting part of the circuit underlying it.
Salvatore Gentile; Marco Fontanella; Rossana Lo Giudice; Innocenzo Rainero; Elisa Rubino; Lorenzo Pinessi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-01-11
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  108     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-17     Completed Date:  2006-04-11     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  195-8     Citation Subset:  IM    
Neurology III - Headache Centre, Department of Neuroscience, University of Torino, Via Cherasco 15, 10126 Torino, Italy.
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MeSH Terms
Adrenergic Fibers / physiology
Aneurysm, Ruptured / complications,  radiography,  surgery*
Carotid Arteries / innervation
Cluster Headache / etiology*
Intracranial Aneurysm / complications,  radiography,  surgery*
Middle Aged
Migraine without Aura / complications

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