Cardiac cephalalgia: First case from India

Cardiac cephalalgia: First case from India

A 67-year-old male smoker had exertional headaches for 2 years. The headaches were holocephalic, very severe, excruciating, and occasionally accompanied by nausea. Physical examinations and neuroimaging were normal. Electrocardiogram (ECG) showed old infarct in inferior leads. Sublingual nitrate pro...

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Bibliographic Details
Main Authors: Sanjay Prakash, Nirav Panchani, Chaturbhuj Rathore, Prayag Makwana, Mitali Rathod
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Angina
cardiac cephalalgia
coronary artery disease
exertional headache
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2016;volume=19;issue=2;spage=252;epage=254;aulast=Prakash
Description
Summary:A 67-year-old male smoker had exertional headaches for 2 years. The headaches were holocephalic, very severe, excruciating, and occasionally accompanied by nausea. Physical examinations and neuroimaging were normal. Electrocardiogram (ECG) showed old infarct in inferior leads. Sublingual nitrate provided relief in headaches. Stress test was positive with recurrence of similar headaches with ECG changes suggestive of myocardial ischemia. Coronary angiogram revealed three-vessel disease. Coronary artery bypass surgery provided complete resolution of headaches.
ISSN:0972-2327
1998-3549

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