Two symptomatic cases of cluster headache associated with internal carotid artery dissection

Cluster headache is a clinical entity characterised by strictly unilateral head pain attacks accompanied by ipsilateral autonomic phenomena. We report two patients who had pain episodes mimicking cluster headache attacks, and who experienced a total or partial Horner's syndrome ipsilaterally to...

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Bibliographic Details
Published in:Neurological sciences 2007-05, Vol.28 Suppl 2 (S2), p.S229-S231
Main Authors: Rigamonti, A, Iurlaro, S, Zelioli, A, Agostoni, E
Format: Article
Language:English
Subjects:
Anticoagulants - pharmacology
Anticoagulants - therapeutic use
Brain - blood supply
Brain - pathology
Brain - physiopathology
Brain Ischemia - etiology
Brain Ischemia - physiopathology
Carotid Artery, Internal - pathology
Carotid Artery, Internal - physiopathology
Carotid Artery, Internal, Dissection - complications
Carotid Artery, Internal, Dissection - physiopathology
Cluster Headache - etiology
Cluster Headache - physiopathology
Headaches
Horner Syndrome - etiology
Horner Syndrome - physiopathology
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neurology
Neurosciences
Sympathetic Fibers, Postganglionic - physiopathology
Time Factors
Tomography, X-Ray Computed
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Summary:Cluster headache is a clinical entity characterised by strictly unilateral head pain attacks accompanied by ipsilateral autonomic phenomena. We report two patients who had pain episodes mimicking cluster headache attacks, and who experienced a total or partial Horner's syndrome ipsilaterally to pain, persisting for 48 h after the last attack. A dissection of the ipsilateral internal carotid artery at the extra-intracranial passage was present in both cases. These cases highlight the need for extensive neuroradiological investigation in cluster headache patients when atypical features are present.
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-007-0784-2