Chronic Headache Relief After Section of Suboccipital Muscle Dural Connections: A Case Report
Article first published online: 6 JAN 2004
Headache: The Journal of Head and Face Pain
Volume 44, Issue 1, pages 84–89, January 2004
How to Cite
Hack, G. D. and Hallgren, R. C. (2004), Chronic Headache Relief After Section of Suboccipital Muscle Dural Connections: A Case Report. Headache: The Journal of Head and Face Pain, 44: 84–89. doi: 10.1111/j.1526-4610.2004.04015.x
- Issue published online: 6 JAN 2004
- Article first published online: 6 JAN 2004
- Accepted for publication September 8, 2003.
- myodural bridge;
- suboccipital muscles;
- dura mater;
The presence of a connective tissue bridge, attaching suboccipital muscles to the dura mater, is now recognized as a feature of normal human anatomy. The role that this myodural bridge may play in headache production is uncertain; however, a new conceptual model is emerging. Postsurgical myodural adhesions have been reported as a complication resulting from excision of acoustic tumors. Extensive research now exists implicating these myodural adhesions as a possible source of postoperative headache. Integrating these 2 types of myodural unions (anatomic and pathologic) into a unified theory of headache production, we report a single patient who experienced relief from chronic headache after surgical separation of the myodural bridge from the suboccipital musculature.