Chronic Headache Relief After Section of Suboccipital Muscle Dural Connections: A Case Report

The presence of a connective tissue bridge, attaching suboccipital muscles to the dura mater, is now recognized as a feature of normal human anatomy. The role that this myodural bridge may play in headache production is uncertain; however, a new conceptual model is emerging. Postsurgical myodural ad...

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Bibliographic Details
Published in:Headache 2004-01, Vol.44 (1), p.84-89
Main Authors: Hack, Gary D., Hallgren, Richard C.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Chronic Disease
dura mater
Dura Mater - surgery
headache
Headache - etiology
Headache - surgery
Headache Disorders
Humans
Hypertrophy
Male
Medical sciences
Muscle, Skeletal - pathology
Muscle, Skeletal - surgery
myodural bridge
Neck Injuries - complications
Neurology
Postoperative Complications - surgery
suboccipital muscles
Vascular diseases and vascular malformations of the nervous system
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Summary:The presence of a connective tissue bridge, attaching suboccipital muscles to the dura mater, is now recognized as a feature of normal human anatomy. The role that this myodural bridge may play in headache production is uncertain; however, a new conceptual model is emerging. Postsurgical myodural adhesions have been reported as a complication resulting from excision of acoustic tumors. Extensive research now exists implicating these myodural adhesions as a possible source of postoperative headache. Integrating these 2 types of myodural unions (anatomic and pathologic) into a unified theory of headache production, we report a single patient who experienced relief from chronic headache after surgical separation of the myodural bridge from the suboccipital musculature.
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2004.04015.x