title: Jugular compression and radionuclide cisternographic patterns in patients with chronic headache.
abstract: OBJECTIVE
  We investigated the value of the jugular compression test (JCT) in screening patients with chronic headache attributable to persistent cerebrospinal fluid (CSF) leakage.
  
  
  METHODS
  Clinical records of 35 consecutive patients who underwent both 111In-diethylenetriamine pentaacetic acid radioisotope (RI) cisternography and JCT were retrospectively analyzed.
  
  
  RESULTS
  A strong correlation was seen between JCT and RI cisternographic findings. Most patients who reported a feeling of fullness in the ear, hearing loss or headache during JCT had positive findings on RI cisternograms indicative of CSF leakage. In contrast, no RI study abnormalities were seen in patients reporting no symptoms in JCT.
  
  
  CONCLUSIONS
  Among patients complaining of refractory headache and other miscellaneous symptoms, JCT may represent a simple, economic, and reliable technique in the screening of candidates for RI cisternography to evaluate CSF leakage. A subgroup of patients with chronic headache may have persistent CSF leakage.
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Horikoshi
authors.forename: Mikito
authors.initials: M
authors.lastname: Uchida
authors.forename: Arata
authors.initials: A
authors.lastname: Watanabe
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ikegawa
authors.forename: Takako
authors.initials: T
authors.lastname: Umeda
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D002908:Chronic Disease; D005260:Female; D006261:Headache / Q000134:cerebrospinal fluid / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011011:Pneumoencephalography; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals
chemical_list: D019275:Radiopharmaceuticals