title: Case Report of Debilitating Headaches and a Coexisting Ophthalmic Artery Aneurysm: An Indication for Treatment?
abstract: OBJECTIVE
  We present a case of a patient who had severe unilateral headaches related to a small, unruptured ophthalmic artery aneurysm, who experienced complete headache cessation following endovascular coiling.
  
  
  BACKGROUND
  Small unruptured intracranial aneurysms are generally managed and followed conservatively due to minimal risk of rupture. Headaches are frequently reported in patients with intracranial aneurysms, but these aneurysms are typically considered incidental and unrelated, given the undefined association between headaches and most aneurysms.
  
  
  CONCLUSIONS
  There may be some unruptured intracranial aneurysms that can cause intractable headaches and warrant interventional treatment. Future prospective studies are needed that compare pre- and post-procedure headache character and diagnosis, aneurysm characteristics such as size, location, orientation, and shape, type of aneurysm repair with materials used, and other potential risk factors for worsening post-procedure headache in order to better predict headache association to aneurysms, as well as outcomes following endovascular aneurysm treatment.
authors.affiliation: Department of Neurology, Center for Headache and Pain, Cleveland Clinic, Neurological Institute, Cleveland, OH, USA.
authors.forename: Eric P
authors.initials: EP
authors.lastname: Baron
authors.affiliation: Cerebrovascular Center, Cleveland Clinic, Neurological Institute, Cleveland, OH, USA.
authors.forename: Ferdinand K
authors.initials: FK
authors.lastname: Hui
authors.affiliation: Department of Neurology, Center for Headache and Pain, Cleveland Clinic, Neurological Institute, Cleveland, OH, USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Kriegler
mesh_terms: D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D005260:Female; D020773:Headache Disorders / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery; D009880:Ophthalmic Artery / Q000473:pathology* / Q000601:surgery; D055815:Young Adult
keywords: aneurysm; coiling; embolization; endovascular; headache; ophthalmic