a Cardiac cephalalgia attacks provoked by Prinzmetal angina - a case report

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Vlasta Vukovic Cvetkovic Rigmor Højland Jensen, Prof, MD

Abstract

ABSTRACT


A 51-year-old man with no past medical history of headache or risk factors for vascular diseases was diagnosed with supraventricular tachycardia (SVT) in 2005. In 2014 SVT attacks were longer and always followed by severe headache attacks. Accompanying symptoms were dizziness, non-rotational vertigo, confusion, episodes of double vision and tinnitus; these symptoms would last one day, followed by severe tiredness for 2 days. Neurologic and cardiologic evaluation as well as extensive diagnostic test between the attacks was normal. Catheter coronarography showed no stenoses but did show spasms in distal left anterior descending artery. A remarkable effect on SVT and headaches was shown after the introducement of diltiazem. The diagnosis cardiac cephalalgia (CC) was established. As our case report is unique, we hope that our observations will help cardiologists and neurologists to better understand and treat patients with CC. CC should be distinguished from migraine, to avoid prescribing triptans and vasoconstrictors.

Article Details

How to Cite
VUKOVIC CVETKOVIC, Vlasta; JENSEN, Rigmor Højland. a Cardiac cephalalgia attacks provoked by Prinzmetal angina - a case report. Medical Research Archives, [S.l.], v. 9, n. 8, aug. 2021. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2454>. Date accessed: 20 sep. 2021. doi: https://doi.org/10.18103/mra.v9i8.2454.
Section
Case Reports

References

1. Lipton RB, Lowenkopf T, Bajwa ZH, Leckie RS, Ribeiro S, Newman LC, Greenberg MA. Cardiac cephalgia: a treatable form of exertional headache. Neurology 1997;49(3):813-6.
2. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38(1):1-211.
3. Wang M, Wang L, Liu C, Bian X, Dong Z, Yu S. Cardiac cephalalgia: one case with cortical hypoperfusion in headaches and literature review. J Headache Pain 2017; 18(1):24.
4. Wei JH, Wang HF. Cardiac cephalalgia: case reports and review. Cephalalgia 2008;28(8):892-6.
5. Torres-Yaghi Y, Salerian J, Dougherty C.Cardiac cephalgia. Curr Pain Headache Rep. 2015 Apr;19(4):14.
6. Chen SP, Fuh JL, Yu WC, Wang SJ. Cardiac cephalalgia. Case report and review of the literature with new ICHD-II criteria revisited. Eur Neurol 2004;51(4):221-6.
7. Shankar A, Allan CL, Smyth D, Jardine D- Cardiac cephalgia: a diagnostic headache. Intern Med J 2016;46(10):1219-1221.
8. Asvestas D, Vlachos K, Salachas A, Letsas KP, Sideris A. Headache: An unusual presentation of acute myocardial infraction. World J Cardiol 2014; 26;6(6):514-6.
9. Bini A, Evangelista A, Castellini P, Lambru G, Ferrante T, Manzoni GC, Torelli P. Cardiac cephalgia. J Headache Pain. 2009;10(1):3-9.
10. Torres-Yaghi Y, Salerian J, Dougherty C. Cardiac cephalgia. Curr Pain Headache Rep 2015;19(4):14
11. Cheng PY, Sy HN, Chen WL, Chen YY. Cardiac cephalalgia presented with a thunderclap headache and an isolated exertional headache: report of 2 cases. Acta Neurol Taiwan 2010;19(1):57-61.
12. Martínez HR, Rangel-Guerra RA, Cantú-Martínez L, Garza-Gómez J, González HC. Cardiac headache: hemicranial cephalalgia as the sole manifestation of coronary ischemia. Headache 2002;42(10):1029-32.
13. Lazari J, Money-Kyrle A, Wakerley BR. Cardiac cephalalgia: severe, non-exertional headache presenting as unstable angina. Pract Neurol 2019;19(2):173-175.
14. Yang Y, Jeong D, Jin DG, Jang IM, Jang Y, Na HR, Kim S. A case of cardiac cephalalgia showing reversible coronary vasospasm on coronary angiogram. J Clin Neurol 2010;6(2):99-101.