Premium
Focal Headache During Balloon Inflation in the Vertebral and Basilar Arteries
Author(s) -
Nichols Fenwick T.,
Mawad Michel,
Mohr J.P.,
Hilal Sadek,
Adams Robert J.
Publication year - 1993
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.1526-4610.1993.hed3302087.x
Subject(s) - medicine , basilar artery , balloon , vertebral artery , stroke (engine) , arteriovenous malformation , radiology , acute stroke , surgery , tissue plasminogen activator , mechanical engineering , engineering
SYNOPSIS Background and Purpose: Headache may be seen in acute cerebrovascular disease. The significance of localized headache in association with vertebrobasilar disease has not been recognized. Summary of Report: We describe a patient with a cerebellar arteriovenous malformation who underwent intravascular balloon occlusion of the vertebral and basilar artery. He developed reproducible patterns of referred pain with balloon inflation at specific sites. Conclusions: Well localized head pain in the setting of acute stroke should alert physicians to the possibility of localized arterial injury. The pattern seen in this patient has been documented in experimental situations, and should be of use in the setting of acute stroke.