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Reversal of Cluster Headache Side Following Treatment of Arteriovenous Malformation
Author(s) -
Gawel Marek J.,
Willinsky Robert A.,
Krajewski Adam
Publication year - 1989
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1989.hed2907453.x
Subject(s) - headaches , arteriovenous malformation , medicine , cluster headache , anterior cerebral artery , transcranial doppler , middle cerebral artery , posterior cerebral artery , cerebral arteries , hemodynamics , cluster (spacecraft) , radiology , cardiology , anesthesia , surgery , migraine , ischemia , computer science , programming language
SYNOPSIS We describe the case of a forty‐four year old man who had typical right sided cluster headaches and an arteriovenous malformation supplied mainly by the right anterior cerebral artery. Following endovascular embolisation of this artery the AVM was supplied mainly by the left anterior cerebral artery. Subsequent headaches have always been on the left. Transcranial Doppler studies now suggested an increase of middle cerebral artery flow velocity. We suggest that the change in haemodynamics was responsible for the change in headache side.