Gawel M J, Willinsky R A, Krajewski A
Headache. 1989 Jul;29(7):453-4. doi: 10.1111/j.1526-4610.1989.hed2907453.x.
We describe the case of a forty-four year old man who had typical right sided cluster headaches and an arteriovenous malformation supplied mainly by the right anterior cerebral artery. Following endovascular embolisation of this artery the AVM was supplied mainly by the left anterior cerebral artery. Subsequent headaches have always been on the left. Transcranial Doppler studies now suggested an increase of middle cerebral artery flow velocity. We suggest that the change in haemodynamics was responsible for the change in headache side.
我们描述了一名44岁男性的病例，该患者患有典型的右侧丛集性头痛，并有一个主要由右侧大脑前动脉供血的动静脉畸形。对该动脉进行血管内栓塞后，动静脉畸形主要由左侧大脑前动脉供血。随后的头痛一直出现在左侧。经颅多普勒研究现在提示大脑中动脉血流速度增加。我们认为血流动力学的改变是头痛部位改变的原因。
