Cardiac cephalalgia. Case report and review of the literature with new ICHD-II criteria revisited.
We report a patient with cardiac cephalalgia and review reported cases from the English-language literature based on the new diagnostic criteria published in the International Classification of Headache Disorders, ed 2. Twenty-two patients, including ours, with headaches of cardiac origin were reviewed. The cases fit three of the four new criteria well: Criteria B (acute myocardial ischemia has occurred, 100%), C (headache developed concomitantly with acute myocardial ischemia, 100%), and D (headache resolved and does not recur after effective medical or surgical treatment for myocardial ischemia, 83%). The cases in which we had exceptions were to the proposed headache features (criterion A), which were generally not fulfilled, with nausea as the least frequent finding (27%); this criterion might not be mandatory for diagnosis.
Chen
Shih-Pin
SP
Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Fuh
Jong-Ling
JL
Yu
Wen-Chung
WC
Wang
Shuu-Jiun
SJ
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004569:Electroencephalography / Q000379:methods; D005260:Female; D006261:Headache / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications*; D012189:Retrospective Studies; D012196:Review Literature as Topic