Cardiac Cephalalgia. Case Report and Review of the Literature with New ICHD-II Criteria Revisited.

摘要

We report a patient with cardiac cephalalgia and review reported cases from the English-language literature based on the new diagnostic criteria published in the International Classification of Headache Disorders, ed 2. Twenty-two patients, including ours, with headaches of cardiac origin were reviewed. The cases fit three of the four new criteria well: Criteria B (acute myocardial ischemia has occurred, 100), C (headache developed concomitantly with acute myocardial ischemia, 100), and D (headache resolved and does not recur after effective medical or surgical treatment for myocardial ischemia, 83). The cases in which we had exceptions were to the proposed headache features (criterion A), which were generally not fulfilled, with nausea as the least frequent finding (27); this criterion might not be mandatory for diagnosis. Copyright 2004 S. Karger AG, Basel