Rigamonti A, Iurlaro S, Zelioli A, Agostoni E
Department of Neurology, Ospedale A. Manzoni, Via Dell'Eremo 9/11, I-23900 Lecco, Italy.
Neurol Sci. 2007 May;28 Suppl 2:S229-31. doi: 10.1007/s10072-007-0784-2.
Cluster headache is a clinical entity characterised by strictly unilateral head pain attacks accompanied by ipsilateral autonomic phenomena. We report two patients who had pain episodes mimicking cluster headache attacks, and who experienced a total or partial Horner's syndrome ipsilaterally to pain, persisting for 48 h after the last attack. A dissection of the ipsilateral internal carotid artery at the extra-intracranial passage was present in both cases. These cases highlight the need for extensive neuroradiological investigation in cluster headache patients when atypical features are present.
丛集性头痛是一种临床病症，其特征为严格单侧的头痛发作，并伴有同侧自主神经现象。我们报告了两名患者，他们有类似丛集性头痛发作的疼痛发作，且在疼痛同侧出现了完全或部分霍纳综合征，在最后一次发作后持续48小时。两例均存在同侧颈内动脉在颅外段的夹层。这些病例凸显了在丛集性头痛患者出现非典型特征时进行广泛神经放射学检查的必要性。
