Saadia Aidi (Morocco)
Mohamed V university Department of neurology and NeuropsychologyAuthor Of 1 Presentation
VASCULAR HEADACHE
- Saadia Aidi (Morocco)
Abstract
Abstract Body
Headache is a common accompanying symptom of cerebrovascular diseases, and may represent the only symptom at onset or predominates over the other neurological features. Indeed, the third edition of the International Classification of Headache Disorders (ICHD-3) dedicates an entire chapter to headache attributed to cranial or cervical vascular disorder. It includes headaches attributed to non traumatic intracranial hemorrhage, arterial dissection, acute ischemic stroke, cerebral venous sinus thrombosis, reversible cerebral vasoconstriction syndrome, arteritis and chronic intracranial vasculopathy such as CADASIL or MELAS.
Unfortunately, headache associated with cerebrovascular diseases lacks clear-cut characteristics. The descriptions may range from a thunderclap onset to a phenotype similar to tension type headache. However, many of these headaches can be present with peculiar characteristics as in the case of thunderclap headache following subarachnoid hemorrhage or cerebral reversible vasoconstriction syndrome. In cervicocerebral artery dissection pain is most commonly ipsilateral to the dissected vessel, mainly perceived in the temporal area in carotid artery dissection and in the occipital area in vertebral artery dissection. Otherwise, pain can mimic primary headaches, mostly migraine, tension-type headache, or cluster headache, as described in the case of vascular artery dissection or symptomatic arteriovenous malformations. Headache may lack specific features as seen in cerebral venous thrombosis.
Therefore, it is essential to be aware of the relationship between headache and cerebrovascular diseases, in order to can timely recognise causes and intervene as soon as possible to avoid permanent sequelae that result in disability.
Presenter of 1 Presentation
VASCULAR HEADACHE
- Saadia Aidi (Morocco)
Abstract
Abstract Body
Headache is a common accompanying symptom of cerebrovascular diseases, and may represent the only symptom at onset or predominates over the other neurological features. Indeed, the third edition of the International Classification of Headache Disorders (ICHD-3) dedicates an entire chapter to headache attributed to cranial or cervical vascular disorder. It includes headaches attributed to non traumatic intracranial hemorrhage, arterial dissection, acute ischemic stroke, cerebral venous sinus thrombosis, reversible cerebral vasoconstriction syndrome, arteritis and chronic intracranial vasculopathy such as CADASIL or MELAS.
Unfortunately, headache associated with cerebrovascular diseases lacks clear-cut characteristics. The descriptions may range from a thunderclap onset to a phenotype similar to tension type headache. However, many of these headaches can be present with peculiar characteristics as in the case of thunderclap headache following subarachnoid hemorrhage or cerebral reversible vasoconstriction syndrome. In cervicocerebral artery dissection pain is most commonly ipsilateral to the dissected vessel, mainly perceived in the temporal area in carotid artery dissection and in the occipital area in vertebral artery dissection. Otherwise, pain can mimic primary headaches, mostly migraine, tension-type headache, or cluster headache, as described in the case of vascular artery dissection or symptomatic arteriovenous malformations. Headache may lack specific features as seen in cerebral venous thrombosis.
Therefore, it is essential to be aware of the relationship between headache and cerebrovascular diseases, in order to can timely recognise causes and intervene as soon as possible to avoid permanent sequelae that result in disability.