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

Autor: de Coo, Ilse, van Dijk, J. Marc C., Metzemaekers, Jan D.M., Haan, Joost
Předmět:
Zdroj: Headache: The Journal of Head & Face Pain; Apr2017, Vol. 57 Issue 4, p654-657, 4p, 1 Black and White Photograph, 1 Graph
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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index