Chronic paroxysmal headache: two cases with cerebrovascular disease.
Paroxysmal headaches often occur in benign headache disorders such as episodic cluster headache, chronic paroxysmal hemicrania (CPH) and episodic paroxysmal hemicrania. We report 2 patients with paroxysmal headaches occurring in association with cerebrovascular disease. The first patient had paroxysmal headaches from an arteriovenous malformation which resolved following embolization. In the second patient, headache followed a cerebral infarction and responded to treatment with indomethacin. We suggest that vascular disease may cause paroxysmal headaches resembling CPH. Patients with an atypical presentation of CPH warrant a neuroimaging procedure.
Newman
L C
LC
Department of Neurology, Albert Einstein College of Medicine, New York.
Herskovitz
S
S
Lipton
R B
RB
Solomon
S
S
D000328:Adult; D002544:Cerebral Infarction / Q000150:complications; D002561:Cerebrovascular Disorders / Q000150:complications*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications; D008875:Middle Aged; D008881:Migraine Disorders / Q000175:diagnosis / Q000209:etiology*