Taub E, Argoff C E, Winterkorn J M, Milhorat T H
Division of Neurosurgery, Cornell University Medical College, New York, New York, USA.
Neurosurgery. 1995 Aug;37(2):319-21; discussion 321-2. doi: 10.1227/00006123-199508000-00018.
Cluster headache is almost always idiopathic, but, in rare cases, associated intracranial lesions have been found. We describe a patient who had chronic cluster headache for more than 20 years. The headache immediately resolved upon resection of a tentorial meningioma. Prior reports of cluster headache as a manifestation of structural disease are briefly reviewed. In the patient described, the pain was referred from the right tentorium cerebelli to the right side of the face, in accordance with reported studies on the subjective localization of pain referred from posterior fossa structures. The accompanying abnormalities of autonomic function may have been mediated by central autonomic reflexes that are also involved in the pathogenesis of idiopathic cluster headache.
丛集性头痛几乎总是特发性的，但在罕见情况下，已发现相关的颅内病变。我们描述了一名患有慢性丛集性头痛超过20年的患者。切除小脑幕脑膜瘤后头痛立即缓解。本文简要回顾了先前关于丛集性头痛作为结构性疾病表现的报道。在所描述的患者中，疼痛从右侧小脑幕转移至右侧面部，这与先前关于后颅窝结构牵涉痛主观定位的研究一致。伴随的自主神经功能异常可能是由中枢自主神经反射介导的，这些反射也参与了特发性丛集性头痛的发病机制。
