Segmental cavernous carotid ectasia in a patient with cluster-like headache

Semnic, Robert; Kozić, Duško; Semnic, Marija; Trifunović, Jasna; Simić, Svetlana; Radojičić, Aleksandra

doi:10.1016/j.pjnns.2015.01.002

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…30,31 Pathology and mass effect in the cavernous sinus where the ophthalmic branch of the trigeminal nerve passes is another potential mechanism for this case. 32 These could be potential explanations of cluster headache in the symptomatic hypothalamic pilocytic astrocytoma with carotid stenosis at cavernous segment.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Cluster Headache Case Series: Symptomatic Cases and the Migraine Relationship

Eberhard,

Jackman

2023

J Child Neurol

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Background Current criteria help differentiate cluster headache from migraine. However, children may have overlapping features making it difficult to distinguish the 2 conditions, which may delay diagnosis. Differentiating cluster headache from migraine is important regarding treatment as well as diagnostic workup of secondary headache etiologies. Methods Cases at a single pediatric children's hospital from 2015 to 2023 diagnosed with cluster headache before the age of 18 years were reviewed. Results Twenty-five cases were identified of which 22 cases met criteria for either chronic, episodic, or probable cluster headache. Three cases were diagnosed with cluster headache by their provider, but documentation was insufficient to meet criteria for cluster headache. There were 16 females and 9 males between ages 6 and 17 years. Five cases were identified as symptomatic, 2 cases as chronic, 7 cases as episodic, and 13 cases as probable cluster headache. Symptomatic etiologies include Graves disease, optic neuritis, prolactinoma, hypothalamic pilocytic astrocytoma with carotid stenosis, and congenital right eye blindness. Migrainous features were common, including 76% with nausea, 36% with vomiting, 68% with photophobia, and 56% with phonophobia. Patients with cluster headache also had an independent diagnosis of migraine in 64%. Conclusion Children with cluster headache have a high frequency of migrainous symptoms and co-occurrent diagnosis of migraine. A careful history may differentiate cluster headache from migraine and treated accordingly. Children with cluster headache features should undergo screening for secondary causes with appropriate imaging and other studies. Except for prolactinoma, the symptomatic associations noted in this case series have not been reported before.

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Section: Discussionmentioning

confidence: 99%

Pediatric Cluster Headache Case Series: Symptomatic Cases and the Migraine Relationship

Eberhard,

Jackman

2023

J Child Neurol

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“…Several case reports describing CH mimics have since reported an affection in this location. [38][39][40][41][42] However, in patients with (idiopathic) CH, there generally seems to be no abnormality. 43,44 The references to the pain as neuralgia from different authors indicate that they presumed an implication of peripheral nerves.…”

Section: Neuralgia As the Cause Of The Painmentioning

confidence: 99%

“…Several case reports describing CH mimics have since reported an affection in this location. 38 –42 However, in patients with (idiopathic) CH, there generally seems to be no abnormality. 43,44…”

Section: Insights Into the Pathophysiologymentioning

confidence: 99%

History of cluster headache

Pohl

2022

Cephalalgia Reports

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Objective: To summarise the history of cluster headache evolving concepts and growing insights. Background: Excruciating pain, activation of the parasympathetic nervous system, and circadian rhythmicity characterise cluster headache attacks. Results: We find the oldest descriptions of patients suffering from the disorder in case reports of the 17th and 18th centuries. Only in the 19th and early 20th centuries did physicians start hypothesizing its cause. Initially, many researchers suspected the origin of the pain in peripheral nerves or blood vessels. However, eventually, they understood that the cause of the disease lies in the brain. In 1998, Positron emission tomography studies revealed increased activity of the posterior hypothalamus, whose role remains incompletely understood. Only recently have researchers realised that being diseased implies more than dysfunction. Recent studies analysed the consequences of cluster headache for each patient. Many struggle to deal with the disorder even in the absence of pain. Conclusion: Physicians have been aware of this type of pain for at least 300 years. Only when researchers studied pathological anatomy and physiology did knowledge accrue. A more comprehensive picture of the disease severity emerged when they also considered its consequences.

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“…Semnic et al . [ 18 ] reported a case of 49-year-old male with features superficially resembling left-sided ECH. However, there were no autonomic symptoms associated with headache attacks and restlessness was not mentioned.…”

Section: N Ew C Ases Of S mentioning

confidence: 99%

Secondary (Symptomatic) trigeminal autonomic cephalalgia

Chowdhury¹

2018

Ann Indian Acad Neurol

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Primary trigeminal autonomic cephalalgias (TACs) are uncommon group of headache disorders. These are defined and diagnosed by the criteria given by the International Classification of Headache Disorders 3β version. Over the past few decades, a number of secondary (symptomatic) cases have been described in the literature with headache features indistinguishable from primary TACs. Many structural and other pathologies have been found in these patients that can be causally related to the headaches. This review attempts to critically analyze the existing literature including the new cases published during 2015–2017.

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Segmental cavernous carotid ectasia in a patient with cluster-like headache

Abstract: Magnetic resonance imaging and MR angiography are mandatory imaging tools used for precise localization of pathological changes in the cavernous sinus, especially in the group of secondary headaches attributed to vascular disorders.

Cited by 4 publications

References 23 publications

Pediatric Cluster Headache Case Series: Symptomatic Cases and the Migraine Relationship

Pediatric Cluster Headache Case Series: Symptomatic Cases and the Migraine Relationship

History of cluster headache

Secondary (Symptomatic) trigeminal autonomic cephalalgia

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