Cluster headache and intracranial aneurysm

Abstract

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.

Headache Research and Medical Practice in Brazil: An Historical Overview

“…In addition, he was the author of the first book published on the subject of headache in Latin America, in addition to a series of other books dealing with headache medicine . He also published an extensive series of articles addressing different types of headache, including clinical observations on and the results of pharmacological treatments based on his daily experience with headache sufferers . Unfortunately, the vast majority of his publications were in Portuguese and therefore remained restricted to those with a knowledge of the Portuguese language.…”

“…Our contribution in the study of secondary types of headache is worthy of mention. Several articles have been published by Brazilian authors on headache possibly caused by an intracranial aneurysm . Krymchantowski described the clinical characteristics of the headache triggered by a policeman's helmet.…”

“…In Rio de Janeiro, São Paulo, Paraná, Santa Catarina, and Rio Grande do Sul, there are several centers dealing with headache disorders and an excellent scientific production has been made by a number of headache specialists, mentioning Abouch Krymchantowski, Carla da Cunha Jevoux, Maurice Vincent, Pedro Ferreira Moreira Filho, Jano Alves de Souza, Maria Eduarda Nobre in Rio de Janeiro; Celia P. Roesler, Deusvenir de Souza Carvalho, Eliova Zukerman, Mario Fernando Prieto Peres,…”

“…[46][47][48] He also published an extensive series of articles addressing different types of headache, including clinical observations on and the results of pharmacological treatments based on his daily experience with headache sufferers. 44,[49][50][51][52][53][54][55][56][57][58][59][60][61][62] Unfortunately, the vast majority of his publications were in Portuguese and therefore remained restricted to those with a knowledge of the Portuguese language.…”

“…Several articles have been published by Brazilian authors on headache possibly caused by an intracranial aneurysm. 51,[282][283][284][285][286] Krymchantowski 287 described the clinical characteristics of the headache triggered by a policeman's helmet. In this connection, our group showed that the use of a ponytail by a woman more easily triggers a headache attack in migraineurs.…”