Trigeminal autonomic cephalgias due to structural lesions: a review of 31 cases.
Trigeminal autonomic cephalgias (TACs) include cluster headache, paroxysmal hemicrania, and short-lasting unilateral neuralgiform headache with conjunctival injection and tearing. Associated structural lesions may be found, but a causal relationship is often difficult to establish. We sought to identify clinical predictors of underlying structural abnormalities by reviewing previously described and new TAC and TAC-like cases associated with a structural lesion. We found that even typical TACs can be caused by an underlying lesion. Clinical warning signs and symptoms are relatively rare. We recommend neuroimaging in all patients with a TAC or TAC-like syndrome.
Favier
Irene
I
Department of Neurology, Leiden University Medical Centre, Leiden, The Netherlands. i.favier@lumc.nl
van Vliet
Jorine A
JA
Roon
Krista I
KI
Witteveen
Ron J W
RJ
Verschuuren
Jan J G M
JJ
Ferrari
Michel D
MD
Haan
Joost
J
D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000473:pathology; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D039781:PubMed / Q000706:statistics & numerical data; D051303:Trigeminal Autonomic Cephalalgias / Q000145:classification / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology*