Paroxysmal hemicrania associated to carotid artery dissection: a case report

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2021.26

Keywords:

Paroxysmal hemicrania, Secondary headaches, Carotid dissection

Abstract

There are numerous case reports relating trigeminal autonomic cephalalgias to structural injuries. However there is no description of the association between paroxysmal hemicrania and carotid artery dissection.  We describe a previously healthy 63-year-old male presented with the onset of severe, throbbing pain in the right frontal region, lasting between 10 and 30 minutes, with a frequency of approximately two to three attacks per day, which began two days before seeking medical care. Pain was associated with ipsilateral tearing, semiptosis and nasal congestion. A cervical arterial magnetic resonance angiography demonstrated left carotid artery dissection in the C1/C2 segment of the left internal carotid artery. The patient became asymptomatic after indomethacin use. We conclude that the possibility of investigating carotid dissection should be considered in patients with paroxysmal hemicrania.  

Downloads

Download data is not yet available.

References

Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition (2018). Cephalalgia 38 (1):1-211. doi:10.1177/0333102417738202

Cittadini E, Matharu MS (2009) Symptomatic trigeminal autonomic cephalalgias. The neurologist 15 (6):305-312. doi:10.1097/NRL.0b013e3181ad8d67

de Coo IF, Wilbrink LA, Haan J (2015) Symptomatic Trigeminal Autonomic Cephalalgias. Current pain and headache reports 19 (8):39. doi:10.1007/s11916-015-0514-z

Chowdhury D (2018) Secondary (Symptomatic) Trigeminal Autonomic Cephalalgia. Annals of Indian Academy of Neurology 21 (Suppl 1):S57-s69. doi:10.4103/aian.AIAN_16_18

Bazan R, Almeida LA, Rocha FC, Raffin CN, Fonseca RG (2008) Headache secondary to haemorrhagic stroke resembling paroxysmal hemicrania. Arquivos de neuro-psiquiatria 66 (3b):761-762

Gatzonis S, Mitsikostas DD, Ilias A, Zournas CH, Papageorgiou C (1996) Two more secondary headaches mimicking chronic paroxysmal hemicrania. Is this the exception or the rule? Headache 36 (8):511-513

Monzillo P, Nemoto P, Costa A, Rocha AJ (2007) Paroxysmal hemicrania-tic and Chiari I malformation: an unusual association. Cephalalgia 27 (12):1408-1412. doi:10.1111/j.1468-2982.2007.01362.x

Beams JL, Rozen TD (2011) Paroxysmal hemicrania as the clinical presentation of giant cell arteritis. Clinics and practice 1 (4):e111. doi:10.4081/cp.2011.e111

Grangeon L, Moscatelli L, Zanin A, Rouille A, Maltete D, Guegan-Massardier E (2017) Indomethacin-Responsive Paroxysmal Hemicrania in an Elderly Man: An Unusual Presentation of Pituitary Apoplexy. Headache 57 (10):1624-1626. doi:10.1111/head.13201

Matharu M, May A (2008) Functional and structural neuroimaging in trigeminal autonomic cephalalgias. Current pain and headache reports 12 (2):132-137

Obermann M, Holle D, Nagel S (2018) Functional Neuroimaging in Trigeminal Autonomic Cephalalgias. Annals of Indian Academy of Neurology 21 (Suppl 1):S51-s56. doi:10.4103/aian.AIAN_357_17

Brilla R, Pawlowski M, Evers S (2018) Hemicrania continua in carotid artery dissection - symptomatic cases or linked pathophysiology? Cephalalgia 38 (2):402-405. doi:10.1177/0333102416686346

Prakash S, Patell R (2014) Paroxysmal hemicrania: an update. Current pain and headache reports 18 (4):407. doi:10.1007/s11916-014-0407-6

Matharu MS, Cohen AS, Frackowiak RS, Goadsby PJ (2006) Posterior hypothalamic activation in paroxysmal hemicrania. Annals of neurology 59 (3):535-545. doi:10.1002/ana.20763

Downloads

Published

27/09/2021

How to Cite

1.
Oliveira FAA, Rocha-Filho PAS. Paroxysmal hemicrania associated to carotid artery dissection: a case report. HM [Internet]. 2021 Sep. 27 [cited 2022 May 26];12(2):144-7. Available from: https://headachemedicine.com.br/index.php/hm/article/view/436

Issue

Section

Case Report

Most read articles by the same author(s)