A Case Report About Cluster-Tic Syndrome Due to Venous Compression of the Trigeminal Nerve

作者：de Coo Ilse; van Dijk J Marc C; Metzemaekers Jan D M; Haan Joost

来源：Headache, 2017, 57(4): 654-657.

DOI：10.1111/head.12990

• trigeminal nerve
• cluster headache
• trigeminal neuralgia
• cluster-tic syndrome
• microvascular decompression

Background.-The term "cluster-tic syndrome" is used for the rare ipsilateral co-occurrence of attacks of cluster headache and trigeminal neuralgia. Medical treatment should combine treatment for cluster headache and trigeminal neuralgia, but is very often unsatisfactory.
Case.-Here, we describe a 41-year-old woman diagnosed with cluster-tic syndrome who underwent microvascular decompression of the trigeminal nerve, primarily aimed at the "trigeminal neuralgia" part of her pain syndrome. After venous decompression of the trigeminal nerve both a decrease in trigeminal neuralgia and cluster headache attacks was seen. However, the headache did not disappear completely. Furthermore, she reported a decrease in pain intensity of the remaining cluster headache attacks.
Discussion.-This case description suggests that venous vascular decompression in cluster-tic syndrome can be remarkably effective, both for trigeminal neuralgia and cluster headache.

• 出版日期2017-4