Hindfelt B, Olivecrona H
Department of Neurology, Malmö General Hospital, Sweden.
Headache. 1991 Sep;31(8):514-7. doi: 10.1111/j.1526-4610.1991.hed3108514.x.
Cluster headache is considered a clinically distinct entity with no underlying gross pathology. However, in rare cases this kind of headache may be mimicked by an arteriovenous malformation. A 49-year-old male is described who had severe bouts of unilateral headache resembling those of cluster headache. The usual accompanying autonomic manifestations were minor and the headache attacks were prolonged. Treatment with ergotamine tartrate and pizotifen failed. A large ipsilateral arteriovenous malformation was diagnosed. Prospectively, true clustering of the headache attacks could not be documented.
丛集性头痛被认为是一种临床上独特的疾病，没有潜在的明显病理学改变。然而，在罕见情况下，这种头痛可能会被动静脉畸形所模仿。本文描述了一名49岁男性，他患有严重的单侧头痛发作，类似于丛集性头痛。通常伴随的自主神经表现较轻，且头痛发作持续时间较长。使用酒石酸麦角胺和苯噻啶治疗无效。诊断为同侧大型动静脉畸形。前瞻性研究中，无法记录到头痛发作的真正丛集性。
