From the Department of Neurosurgery, Faculty of Medicine, (Drs. Horikoshi, Uchida, and Watanabe); Department of Radiology, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan (Mr. Ikegawa and Dr. Umeda).
Jugular Compression and Radionuclide Cisternographic Patterns in Patients With Chronic Headache
Article first published online: 10 JAN 2006
Headache: The Journal of Head and Face Pain
Volume 46, Issue 1, pages 150–157, January 2006
How to Cite
Horikoshi, T., Uchida, M., Watanabe, A., Ikegawa, H. and Umeda, T. (2006), Jugular Compression and Radionuclide Cisternographic Patterns in Patients With Chronic Headache. Headache: The Journal of Head and Face Pain, 46: 150–157. doi: 10.1111/j.1526-4610.2006.00302.x
- Issue published online: 10 JAN 2006
- Article first published online: 10 JAN 2006
- Accepted for publication August 1, 2005.
- cerebrospinal fluid leakage;
- radionuclide cisternography;
- jugular venous compression;
- orthostatic headache
Objective.—We investigated the value of the jugular compression test (JCT) in screening patients with chronic headache attributable to persistent cerebrospinal fluid (CSF) leakage.
Methods.—Clinical records of 35 consecutive patients who underwent both 111In-diethylenetriamine pentaacetic acid radioisotope (RI) cisternography and JCT were retrospectively analyzed.
Results.—A strong correlation was seen between JCT and RI cisternographic findings. Most patients who reported a feeling of fullness in the ear, hearing loss or headache during JCT had positive findings on RI cisternograms indicative of CSF leakage. In contrast, no RI study abnormalities were seen in patients reporting no symptoms in JCT.
Conclusions.—Among patients complaining of refractory headache and other miscellaneous symptoms, JCT may represent a simple, economic, and reliable technique in the screening of candidates for RI cisternography to evaluate CSF leakage. A subgroup of patients with chronic headache may have persistent CSF leakage.