Cephalalgia : an international journal of headache · 2012
Fusiform aneurysms of the vertebral artery: a hidden cause of exertional headache?
Клинический случайСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Mauri Gerard, Vega Pedro, Murias Eduardo, Vega Juan, Ramón César, Pascual Julio
Аннотация
BACKGROUND: There is only one reported case of recurrent coital headache related to an unruptured saccular aneurysm of the carotid artery.
CASE REPORTS: We report on two cases of isolated recurrent coital/exertional headaches ipsilateral to unruptured fusiform aneurysms of the vertebral artery diagnosed by CT angiography. While one case is being managed conservatively, a vertebral stent has been set in the other.
CONCLUSIONS: CT angiography with full visualisation of intracranial and upper cervical arteries could be used as a screening diagnostic procedure in these cases. Together with saccular aneurysms, fusiform aneurysms should be added to the IHS classification as aetiology for exertional recurrent headaches.
CASE REPORTS: We report on two cases of isolated recurrent coital/exertional headaches ipsilateral to unruptured fusiform aneurysms of the vertebral artery diagnosed by CT angiography. While one case is being managed conservatively, a vertebral stent has been set in the other.
CONCLUSIONS: CT angiography with full visualisation of intracranial and upper cervical arteries could be used as a screening diagnostic procedure in these cases. Together with saccular aneurysms, fusiform aneurysms should be added to the IHS classification as aetiology for exertional recurrent headaches.