Conflict of Interest: None.
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A Tale of Two Systems: Cardiac Cephalalgia vs Migrainous Thoracalgia
Version of Record online: 6 MAY 2014
© 2014 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 55, Issue 2, pages 310–312, February 2015
How to Cite
Mathew, P. G., Boes, C. J. and Garza, I. (2015), A Tale of Two Systems: Cardiac Cephalalgia vs Migrainous Thoracalgia. Headache: The Journal of Head and Face Pain, 55: 310–312. doi: 10.1111/head.12373
Funding: The authors of this manuscript have no relevant financial disclosures.
- Issue online: 17 FEB 2015
- Version of Record online: 6 MAY 2014
The practice of headache medicine is challenging, and excluding secondary causes of headaches is essential for proper diagnosis and treatment. The evaluation of secondary headaches often leads to investigations involving organ systems other than the nervous system. As such, headache, which is typically thought to be neurologic in origin, can be a manifestation of cardiac pathology in the form of cardiac cephalalgia. Conversely, chest pain, which is typically thought to be cardiac in origin, could be a manifestation of a neurologic disease process in the form of atypical migraine aura. In the presented cases, we demonstrate headaches that involve cardiac and neurologic pathology with atypical presentations.