Headache attributed to unruptured saccular aneurysm, mimicking hemicrania continua.
Unruptured cerebral arterial aneurysms most often remain asymptomatic, but they may cause headache or other symptoms or signs. We describe herewith a case of headache attributed to an unruptured internal carotid artery aneurysm, clearly mimicking the phenotype of hemicrania continua. Potential pathophysiological explanations and recommendations for recognition of similar cases are discussed.
Vikelis
Michail
M
Androtsou 17, Voula 16673, Greece. m_vikelis@yahoo.co.uk
Xifaras
Michail
M
Magoufis
Georgios
G
Gekas
Georgios
G
Mitsikostas
Dimos Dimitrios
DD
D000328:Adult; D015901:Angiography, Digital Subtraction; D001342:Autonomic Nervous System Diseases / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D002340:Carotid Artery Diseases / Q000150:complications* / Q000473:pathology* / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D006261:Headache / Q000209:etiology* / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D051302:Paroxysmal Hemicrania / Q000175:diagnosis*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures