title: A Case Report About Cluster-Tic Syndrome Due to Venous Compression of the Trigeminal Nerve.
abstract: BACKGROUND
  The term "cluster-tic syndrome" is used for the rare ipsilateral co-occurrence of attacks of cluster headache and trigeminal neuralgia. Medical treatment should combine treatment for cluster headache and trigeminal neuralgia, but is very often unsatisfactory.
  
  
  METHODS
  Here, we describe a 41-year-old woman diagnosed with cluster-tic syndrome who underwent microvascular decompression of the trigeminal nerve, primarily aimed at the "trigeminal neuralgia" part of her pain syndrome. After venous decompression of the trigeminal nerve both a decrease in trigeminal neuralgia and cluster headache attacks was seen. However, the headache did not disappear completely. Furthermore, she reported a decrease in pain intensity of the remaining cluster headache attacks.
  
  
  CONCLUSIONS
  This case description suggests that venous vascular decompression in cluster-tic syndrome can be remarkably effective, both for trigeminal neuralgia and cluster headache.
authors.affiliation: Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Ilse
authors.initials: I
authors.lastname: de Coo
authors.affiliation: Department of Neurosurgery, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: J Marc C
authors.initials: JM
authors.lastname: van Dijk
authors.affiliation: Department of Neurology, Alrijne Hospital, Leiderdorp, The Netherlands.
authors.forename: Jan D M
authors.initials: JD
authors.lastname: Metzemaekers
authors.affiliation: Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Joost
authors.initials: J
authors.lastname: Haan
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D003027:Cluster Headache / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D061145:Microvascular Decompression Surgery / Q000379:methods*; D014276:Trigeminal Nerve / Q000601:surgery*; D014277:Trigeminal Neuralgia / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: cluster headache; cluster-tic syndrome; microvascular decompression; trigeminal nerve; trigeminal neuralgia