Focal headache during balloon inflation in the internal carotid and middle cerebral arteries

Fenwick T Nichols, Michel Mawad, J. P. Mohr, Bennett Stein, Sadek Hilal, W. Jost Michelsen

Research output: Contribution to journalArticle

89 Citations (Scopus)

Abstract

Although a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and middle cerebral artery stem during embolization therapy for intracerebral arteriovenous malformations. Eleven patients had reproducible patterns of headache during balloon inflation. Inflation in the proximal middle cerebral artery stem produced pain primarily in the ipsilateral temple, that In the middle of the middle cerebral artery stem produced pain referred primarily retro-orbitally, and inflation In the distal middle cerebral artery stem produced pain referred primarily to the forehead. Experimental studies have demonstrated similar patterns of referred pain. The fact that these areas of referred pain are so reproducible is of potentially great clinical importance in the approach to management of patients with cerebrovascular disease.

Original languageEnglish (US)
Pages (from-to)555-559
Number of pages5
JournalStroke
Volume21
Issue number4
DOIs
StatePublished - Jan 1 1990

Fingerprint

Referred Pain
Economic Inflation
Middle Cerebral Artery
Headache
Cerebrovascular Disorders
Pain
Forehead
Arteriovenous Malformations
Internal Carotid Artery

Keywords

  • Arteriovenous
  • Embolizations
  • Headache
  • Malformations
  • Therapeutic

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Focal headache during balloon inflation in the internal carotid and middle cerebral arteries. / Nichols, Fenwick T; Mawad, Michel; Mohr, J. P.; Stein, Bennett; Hilal, Sadek; Michelsen, W. Jost.

In: Stroke, Vol. 21, No. 4, 01.01.1990, p. 555-559.

Research output: Contribution to journalArticle

Nichols, Fenwick T ; Mawad, Michel ; Mohr, J. P. ; Stein, Bennett ; Hilal, Sadek ; Michelsen, W. Jost. / Focal headache during balloon inflation in the internal carotid and middle cerebral arteries. In: Stroke. 1990 ; Vol. 21, No. 4. pp. 555-559.
@article{bdf3797f65cf4774943cc8cc8bced4e3,
title = "Focal headache during balloon inflation in the internal carotid and middle cerebral arteries",
abstract = "Although a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and middle cerebral artery stem during embolization therapy for intracerebral arteriovenous malformations. Eleven patients had reproducible patterns of headache during balloon inflation. Inflation in the proximal middle cerebral artery stem produced pain primarily in the ipsilateral temple, that In the middle of the middle cerebral artery stem produced pain referred primarily retro-orbitally, and inflation In the distal middle cerebral artery stem produced pain referred primarily to the forehead. Experimental studies have demonstrated similar patterns of referred pain. The fact that these areas of referred pain are so reproducible is of potentially great clinical importance in the approach to management of patients with cerebrovascular disease.",
keywords = "Arteriovenous, Embolizations, Headache, Malformations, Therapeutic",
author = "Nichols, {Fenwick T} and Michel Mawad and Mohr, {J. P.} and Bennett Stein and Sadek Hilal and Michelsen, {W. Jost}",
year = "1990",
month = "1",
day = "1",
doi = "10.1161/01.STR.21.4.555",
language = "English (US)",
volume = "21",
pages = "555--559",
journal = "Stroke",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Focal headache during balloon inflation in the internal carotid and middle cerebral arteries

AU - Nichols, Fenwick T

AU - Mawad, Michel

AU - Mohr, J. P.

AU - Stein, Bennett

AU - Hilal, Sadek

AU - Michelsen, W. Jost

PY - 1990/1/1

Y1 - 1990/1/1

N2 - Although a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and middle cerebral artery stem during embolization therapy for intracerebral arteriovenous malformations. Eleven patients had reproducible patterns of headache during balloon inflation. Inflation in the proximal middle cerebral artery stem produced pain primarily in the ipsilateral temple, that In the middle of the middle cerebral artery stem produced pain referred primarily retro-orbitally, and inflation In the distal middle cerebral artery stem produced pain referred primarily to the forehead. Experimental studies have demonstrated similar patterns of referred pain. The fact that these areas of referred pain are so reproducible is of potentially great clinical importance in the approach to management of patients with cerebrovascular disease.

AB - Although a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and middle cerebral artery stem during embolization therapy for intracerebral arteriovenous malformations. Eleven patients had reproducible patterns of headache during balloon inflation. Inflation in the proximal middle cerebral artery stem produced pain primarily in the ipsilateral temple, that In the middle of the middle cerebral artery stem produced pain referred primarily retro-orbitally, and inflation In the distal middle cerebral artery stem produced pain referred primarily to the forehead. Experimental studies have demonstrated similar patterns of referred pain. The fact that these areas of referred pain are so reproducible is of potentially great clinical importance in the approach to management of patients with cerebrovascular disease.

KW - Arteriovenous

KW - Embolizations

KW - Headache

KW - Malformations

KW - Therapeutic

UR - http://www.scopus.com/inward/record.url?scp=0025355899&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025355899&partnerID=8YFLogxK

U2 - 10.1161/01.STR.21.4.555

DO - 10.1161/01.STR.21.4.555

M3 - Article

C2 - 2326836

AN - SCOPUS:0025355899

VL - 21

SP - 555

EP - 559

JO - Stroke

JF - Stroke

SN - 0039-2499

IS - 4

ER -