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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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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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container_title	Headache
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description	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.
doi_str_mv	10.1111/j.1526-4610.2004.04015.x
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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
title	Chronic Headache Relief After Section of Suboccipital Muscle Dural Connections: A Case Report
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