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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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:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2016;volume=19;issue=2;spage=252;epage=254;aulast=Prakash
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spelling doaj-5ea4002a7c754149abe2bd72d498b38e2020-11-24T23:06:39ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492016-01-0119225225410.4103/0972-2327.165467Cardiac cephalalgia: First case from IndiaSanjay PrakashNirav PanchaniChaturbhuj RathorePrayag MakwanaMitali RathodA 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.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2016;volume=19;issue=2;spage=252;epage=254;aulast=PrakashAnginacardiac cephalalgiacoronary artery diseaseexertional headache
collection DOAJ
language English
format Article
sources DOAJ
author Sanjay Prakash
Nirav Panchani
Chaturbhuj Rathore
Prayag Makwana
Mitali Rathod
spellingShingle Sanjay Prakash
Nirav Panchani
Chaturbhuj Rathore
Prayag Makwana
Mitali Rathod
Cardiac cephalalgia: First case from India
Annals of Indian Academy of Neurology
Angina
cardiac cephalalgia
coronary artery disease
exertional headache
author_facet Sanjay Prakash
Nirav Panchani
Chaturbhuj Rathore
Prayag Makwana
Mitali Rathod
author_sort Sanjay Prakash
title Cardiac cephalalgia: First case from India
title_short Cardiac cephalalgia: First case from India
title_full Cardiac cephalalgia: First case from India
title_fullStr Cardiac cephalalgia: First case from India
title_full_unstemmed Cardiac cephalalgia: First case from India
title_sort cardiac cephalalgia: first case from india
publisher Wolters Kluwer Medknow Publications
series Annals of Indian Academy of Neurology
issn 0972-2327
1998-3549
publishDate 2016-01-01
description 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.
topic Angina
cardiac cephalalgia
coronary artery disease
exertional headache
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2016;volume=19;issue=2;spage=252;epage=254;aulast=Prakash
work_keys_str_mv AT sanjayprakash cardiaccephalalgiafirstcasefromindia
AT niravpanchani cardiaccephalalgiafirstcasefromindia
AT chaturbhujrathore cardiaccephalalgiafirstcasefromindia
AT prayagmakwana cardiaccephalalgiafirstcasefromindia
AT mitalirathod cardiaccephalalgiafirstcasefromindia
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