Two symptomatic cases of cluster headache associated with internal carotid artery dissection.
Cluster headache is a clinical entity characterised by strictly unilateral head pain attacks accompanied by ipsilateral autonomic phenomena. We report two patients who had pain episodes mimicking cluster headache attacks, and who experienced a total or partial Horner's syndrome ipsilaterally to pain, persisting for 48 h after the last attack. A dissection of the ipsilateral internal carotid artery at the extra-intracranial passage was present in both cases. These cases highlight the need for extensive neuroradiological investigation in cluster headache patients when atypical features are present.
Rigamonti
A
A
Department of Neurology, Ospedale A. Manzoni, Via Dell'Eremo 9/11, I-23900 Lecco, Italy. rig74@libero.it
Iurlaro
S
S
Zelioli
A
A
Agostoni
E
E
D000925:Anticoagulants / Q000494:pharmacology / Q000627:therapeutic use; D001921:Brain / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D002545:Brain Ischemia / Q000209:etiology / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000473:pathology / Q000503:physiopathology*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications* / Q000503:physiopathology*; D003027:Cluster Headache / Q000209:etiology* / Q000503:physiopathology*; D006732:Horner Syndrome / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D017779:Sympathetic Fibers, Postganglionic / Q000503:physiopathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants