Prakash Sanjay, Panchani Nirav, Rathore Chaturbhuj, Makwana Prayag, Rathod Mitali
Department of Neurology, Smt Bhikhiben Kantilal Shah Medical Institute and Research Centre Medical College, Waghodia, Vadodara, Gujarat, India.
Department of Cardiology, Smt Bhikhiben Kantilal Shah Medical Institute and Research Centre Medical College, Waghodia, Vadodara, Gujarat, India.
Ann Indian Acad Neurol. 2016 Apr-Jun;19(2):252-4. doi: 10.4103/0972-2327.165467.
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.
一名67岁男性吸烟者出现劳力性头痛2年。头痛为全头部疼痛，非常严重、剧痛，偶尔伴有恶心。体格检查和神经影像学检查均正常。心电图（ECG）显示下壁导联有陈旧性梗死。舌下含服硝酸酯可缓解头痛。负荷试验呈阳性，出现类似头痛且伴有提示心肌缺血的心电图改变。冠状动脉造影显示三支血管病变。冠状动脉搭桥手术使头痛完全缓解。
