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Chronic Headache Relief After Section of Suboccipital Muscle Dural Connections: A Case Report
Author(s) -
Hack Gary D.,
Hallgren Richard C.
Publication year - 2004
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.1526-4610.2004.04015.x
Subject(s) - medicine , bridge (graph theory) , dura mater , complication , connective tissue , surgery , pain relief , anatomy , pathology
The presence of a connective tissue bridge, attaching suboccipital muscles to the dura mater, is now recognized as a feature of normal human anatomy. The role that this myodural bridge may play in headache production is uncertain; however, a new conceptual model is emerging. Postsurgical myodural adhesions have been reported as a complication resulting from excision of acoustic tumors. Extensive research now exists implicating these myodural adhesions as a possible source of postoperative headache. Integrating these 2 types of myodural unions (anatomic and pathologic) into a unified theory of headache production, we report a single patient who experienced relief from chronic headache after surgical separation of the myodural bridge from the suboccipital musculature.