Secondary chronic cluster headache due to trigeminal nerve root compression

Authors

  • C. Mjåset,

    1. Head and Neck Research Group, Research Centre, Akershus University Hospital, Lørenskog, Norway
    2. Department of Neurology, Akershus University Hospital, Norway
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  • M. B.* Russell

    1. Head and Neck Research Group, Research Centre, Akershus University Hospital, Lørenskog, Norway
    2. Faculty Division Akershus University Hospital, University of Oslo, Lørenskog, Norway
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  • [Correction added on 2 November 2010 after first online publication on 5 July 2010. The author name, “M. Bjørn Russell”, was amended to “M. B. Russell”.]

Christer Mjåset, Department of Neurology, Akershus University Hospital, Head and Neck Research Group, Research Centre, 1478 Lørenskog, NorwayTel.: +47 920 38 372Fax: +47 67 929 469e-mail: chmja@online.no

Abstract

Mjåset C, Russell MB*;. Secondary chronic cluster headache due to trigeminal nerve root compression.
Acta Neurol Scand: 2010: 122: 373–376.
© 2010 The Authors Journal compilation © 2010 Blackwell Munksgaard.

A 50-year-old woman had a gradual onset of chronic headache located in the right temporal region and a burning sensation in the root of the tongue which over a year evolved into chronic cluster headache with a milder chronic headache in-between the severe cluster headache attacks. A cerebral magnetic resonance imaging (MRI) showed vascular compression of the trigeminal nerve root on the pain side. Neurosurgery microvascular decompression relieved the patient?s chronic cluster headache, the chronic intermittent headache and the burning tongue sensation. The effect was persistent at a 1 year follow-up. Patients with atypical symptoms of cluster headache should be examined with cerebral MRI angiography of arteries and veins to exclude symptomatic causes.

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