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Chronic Paroxysmal Headache: Two Cases With Cerebrovascular Disease
Author(s) -
Newman Lawrence C.,
Herskovitz Steven,
Lipton Richard B.,
Solomon Seymour
Publication year - 1992
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.1526-4610.1992.hed3202075.x
Subject(s) - medicine , headaches , paroxysmal dyskinesia , cluster headache , neuroimaging , disease , pediatrics , migraine , cardiology , anesthesia , surgery , psychiatry , dyskinesia , parkinson's disease
SYNOPSIS Paroxysmal headaches often occur in benign headache disorders such as episodic cluster headache, chronic paroxysmal hemicrania (CPH) and episodic paroxysmal hemicrania. We report 2 patients with paroxysmal headaches occurring in association with cerebrovascular disease. The first patient had paroxysmal headaches from an arteriovenous malformation which resolved following embolization. In the second patient, headache followed a cerebral infarction and responded to treatment with indomethacin. We suggest that vascular disease may cause paroxysmal headaches resembling CPH. Patients with an atypical presentation of CPH warrant a neuroimaging procedure.