Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System

Cerebral venous thrombosis- (CVT-) associated headache is considered a secondary headache, commonly presenting as intracranial hypertension headache in association with seizures and/or neurological signs. However, it can occasionally mimic migraine. We report a patient presenting with a migraine-lik...

Full description

Bibliographic Details
Main Authors: Fábio A. Nascimento, Marília Grando Sória, Vanessa Rizelio, Pedro A. Kowacs
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/2059749
id doaj-a029e0bb80ab447c953225e4481428d5
record_format Article
spelling doaj-a029e0bb80ab447c953225e4481428d52020-11-24T22:35:42ZengHindawi LimitedCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/20597492059749Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular SystemFábio A. Nascimento0Marília Grando Sória1Vanessa Rizelio2Pedro A. Kowacs3Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, ON, CanadaNeurological Institute of Curitiba (INC), 300 Rua Jeremias Maciel Perretto, 81210-310 Curitiba, PR, BrazilNeurological Institute of Curitiba (INC), 300 Rua Jeremias Maciel Perretto, 81210-310 Curitiba, PR, BrazilNeurological Institute of Curitiba (INC), 300 Rua Jeremias Maciel Perretto, 81210-310 Curitiba, PR, BrazilCerebral venous thrombosis- (CVT-) associated headache is considered a secondary headache, commonly presenting as intracranial hypertension headache in association with seizures and/or neurological signs. However, it can occasionally mimic migraine. We report a patient presenting with a migraine-like, CVT-related headache refractory to several medications but intravenous dihydroergotamine (DHE). The response to DHE, which is considered to be an antimigraine medication, in addition to the neurovascular nature of migraine, points out to a probable similarity between CVT-headache and migraine. Based on experimental studies, we discuss this similarity and hypothesize a trigeminovascular role in the genesis of CVT-associated headache.http://dx.doi.org/10.1155/2016/2059749
collection DOAJ
language English
format Article
sources DOAJ
author Fábio A. Nascimento
Marília Grando Sória
Vanessa Rizelio
Pedro A. Kowacs
spellingShingle Fábio A. Nascimento
Marília Grando Sória
Vanessa Rizelio
Pedro A. Kowacs
Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System
Case Reports in Neurological Medicine
author_facet Fábio A. Nascimento
Marília Grando Sória
Vanessa Rizelio
Pedro A. Kowacs
author_sort Fábio A. Nascimento
title Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System
title_short Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System
title_full Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System
title_fullStr Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System
title_full_unstemmed Cerebral Venous Thrombosis with Migraine-Like Headache and the Trigeminovascular System
title_sort cerebral venous thrombosis with migraine-like headache and the trigeminovascular system
publisher Hindawi Limited
series Case Reports in Neurological Medicine
issn 2090-6668
2090-6676
publishDate 2016-01-01
description Cerebral venous thrombosis- (CVT-) associated headache is considered a secondary headache, commonly presenting as intracranial hypertension headache in association with seizures and/or neurological signs. However, it can occasionally mimic migraine. We report a patient presenting with a migraine-like, CVT-related headache refractory to several medications but intravenous dihydroergotamine (DHE). The response to DHE, which is considered to be an antimigraine medication, in addition to the neurovascular nature of migraine, points out to a probable similarity between CVT-headache and migraine. Based on experimental studies, we discuss this similarity and hypothesize a trigeminovascular role in the genesis of CVT-associated headache.
url http://dx.doi.org/10.1155/2016/2059749
work_keys_str_mv AT fabioanascimento cerebralvenousthrombosiswithmigrainelikeheadacheandthetrigeminovascularsystem
AT mariliagrandosoria cerebralvenousthrombosiswithmigrainelikeheadacheandthetrigeminovascularsystem
AT vanessarizelio cerebralvenousthrombosiswithmigrainelikeheadacheandthetrigeminovascularsystem
AT pedroakowacs cerebralvenousthrombosiswithmigrainelikeheadacheandthetrigeminovascularsystem
_version_ 1725723164025028608