Solved and unsolved headache problems.
Two unusual cases of vascular headache, one caused by jugular venous compression from a goiter and one triggered by flushing associated with a CGRP-producing renal tumour, are reported. Their histories are compared with those experiencing other headaches of vascular origin. Two patients with a primary neural irritative lesion, one with a sphenoid sinus carcinoma and one with Tolosa-Hunt syndrome, presented with headaches resembling migraine. These case-histories are used to illustrate the interaction of nervous system and vascular system in the production of headache which has implications for the pathophysiology of migraine and cluster headache.
Lance
J W
JW
Institute of Neurological Sciences, Prince Henry and Prince of Wales Hospital, Sydney, Australia.
D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D003389:Cranial Nerve Diseases / Q000150:complications; D006261:Headache / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014276:Trigeminal Nerve; D014653:Vascular Headaches / Q000209:etiology