Anginal Headache and Its Basis

Grace, Antoinette; Horgan, John; Breathnach, K.; Staunton, Hannah

doi:10.1046/j.1468-2982.1997.1703195.x

Cited by 36 publications

(48 citation statements)

References 7 publications

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“…Twenty-one patients [1, 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19]were found in this review. Findings in 22 patients (including ours) including headache features, associated myocardial ischemia, and the presence or absence of each criterion of the ICHD-II criteria for cardiac cephalalgia are summarized in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…One-half of the patients had received exercise stress tests [1, 2, 9, 10, 11, 14, 15, 16, 17]in which the headache was successfully reproduced. Coronary angiography was performed in 14 patients.…”

Section: Resultsmentioning

confidence: 99%

“…Eight patients had an acute myocardial infarction during the course of their headaches; 5 (63%) of these patients had both headache without concomitant chest pain and also headache not associated with exertion. The headaches resolved either permanently or temporarily with medical [5, 6, 8, 12, 14, 15, 17, 18], endovascular [1, 8, 10, 13, 17], or surgical [2, 3, 9, 14, 17]treatment if the cardiac ischemic events were not immediately life-threatening [12, 19]. Three patients died of ventricular fibrillation or acute myocardial infarction.…”

Section: Resultsmentioning

confidence: 99%

“…Cardiac cephalalgia was not necessarily exertional and one-half of the patients did not have simultaneous chest pain [1, 3, 4, 6, 9, 15, 16, 17, 19]. Those with acute myocardial infarction could even have a presentation of sole headache at rest, making the diagnosis of headache of cardiac origin more difficult.…”

Section: Discussionmentioning

confidence: 99%

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Cardiac Cephalalgia

Chen

Fuh

et al. 2004

Eur Neurol

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We report a patient with cardiac cephalalgia and review reported cases from the English-language literature based on the new diagnostic criteria published in the International Classification of Headache Disorders, ed 2. Twenty-two patients, including ours, with headaches of cardiac origin were reviewed. The cases fit three of the four new criteria well: Criteria B (acute myocardial ischemia has occurred, 100%), C (headache developed concomitantly with acute myocardial ischemia, 100%), and D (headache resolved and does not recur after effective medical or surgical treatment for myocardial ischemia, 83%). The cases in which we had exceptions were to the proposed headache features (criterion A), which were generally not fulfilled, with nausea as the least frequent finding (27%); this criterion might not be mandatory for diagnosis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cardiac Cephalalgia

Chen

Fuh

et al. 2004

Eur Neurol

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“…The convergence of somatic inputs (C8 to T2 dermatome) with central autonomic pathways at the thalamus or with peripheral autonomic afferents which conveys the cardiac pain at the spinal cord was proposed as the usual mechanism responsible for cardiac referred pain [3]. The variations in the locations of cardiac referred pain were therefore attributed to the variations in these somatic convergences, either ascent or descent of the neural convergence between the somatic sensory fibers and the autonomic afferents from the heart; so called "overflow of usual neural convergence" [4]. For example, the referred cardiac pain can occur at vertex, orbit, bregma, nasal tip, frontal and peri-oral areas in cases of ascending convergence to involve descending sensory fibers of trigeminal nerve in brain stem as in this reported case, or at epigastrium and peri-umbilical areas in cases of descending neural convergence [5][6][7] (Fig.…”

Section: Discussionmentioning

confidence: 99%

Angina Cranialis: An Unusual Presentation of Referred Ischemic Myocardial Pain

Sathirapanya

2012

J Neurol Res

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Headache was a very unusual presentation of acute myocardial ischemia. A case of acute myocardial infarction presented initially with only excruciating headache was reported. The abnormal electrocardiography and high level of serum creatine kinase-cardiac type (CK-MB) and cardiac troponin T confirmed the diagnosis. The headache totally disappeared after the intensive medical treatment of ischemic heart disease. This rare presentation of acute myocardial infarction should be considered in acutely severe headache cases after the intracranial causes of headache have been completely excluded.

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The receptive field for visceral pain referred orofacially by the vagus nerves

Myers

2020

Clinical Anatomy

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Background: The nociceptive receptive field of the vagus nerves in animals includes virtually the entire thoracic, abdominal and laryngopharyngeal regions. However, the role of the vagus nerves in the transmission of visceral pain in humans, with the exception of pain from coronary artery diseases, is believed to be insignificant. Aim: The purpose of this report is to map out the clinical visceral pain receptive field of the vagus nerves relative to its nociceptive counterpart in animals. Materials and Methods: The PubMed database and PMC were searched for case reports of patients with orofacial pain believed by the author(s) of the article to be referred from underlying non-cardiac thoracic, laryngopharyngeal or abdominal diseases. Reports of diseases for which non-neural explanations for the orofacial spread of pain were suggested were excluded. Results: A total of 52 case reports of jaw pain and/or otalgia referred from laryngopharyngeal and noncardiac thoracic sources were discovered. In addition, a multicenter prospective study found that 25.8% of more than 3,000 patients with thoracic aortic dissection experienced pain in the head and neck region. In stark contrast, no case reports of orofacially referred pain from abdominal diseases were found. Discussion: The results indicate that the laryngopharyngeal and thoracic portions of the vagal receptive field are capable of referring pain orofacially while the abdominal portion is not. The roles of the somatotopic organization of the trigeminal sub nucleus caudalis and neuromodulation in this referral of pain were discussed. Conclusion: Referred orofacial pain can lead to delayed diagnosis and poorer outcome in visceral diseases.

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Anginal Headache and Its Basis

Cited by 36 publications

References 7 publications

Cardiac Cephalalgia

Cardiac Cephalalgia

Angina Cranialis: An Unusual Presentation of Referred Ischemic Myocardial Pain

The receptive field for visceral pain referred orofacially by the vagus nerves

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