A Case Report About Cluster-Tic Syndrome Due to Venous Compression of the Trigeminal Nerve.

Autor: de Coo I; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands., van Dijk JM; Department of Neurosurgery, University Medical Center Groningen, Groningen, The Netherlands., Metzemaekers JD; Department of Neurology, Alrijne Hospital, Leiderdorp, The Netherlands., Haan J; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: Headache [Headache] 2017 Apr; Vol. 57 (4), pp. 654-657. Date of Electronic Publication: 2016 Dec 07.
DOI: 10.1111/head.12990
Abstrakt: Background: The term "cluster-tic syndrome" is used for the rare ipsilateral co-occurrence of attacks of cluster headache and trigeminal neuralgia. Medical treatment should combine treatment for cluster headache and trigeminal neuralgia, but is very often unsatisfactory.
Case: Here, we describe a 41-year-old woman diagnosed with cluster-tic syndrome who underwent microvascular decompression of the trigeminal nerve, primarily aimed at the "trigeminal neuralgia" part of her pain syndrome. After venous decompression of the trigeminal nerve both a decrease in trigeminal neuralgia and cluster headache attacks was seen. However, the headache did not disappear completely. Furthermore, she reported a decrease in pain intensity of the remaining cluster headache attacks.
Discussion: This case description suggests that venous vascular decompression in cluster-tic syndrome can be remarkably effective, both for trigeminal neuralgia and cluster headache.
(© 2016 American Headache Society.)
Databáze: MEDLINE
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