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

Ilse de Coo*, J. Marc C. van Dijk, Jan D. M. Metzemaekers, Joost Haan

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)654-657
Number of pages4
JournalHeadache
Volume57
Issue number4
DOIs
Publication statusPublished - Apr-2017

Keywords

  • trigeminal nerve
  • cluster headache
  • trigeminal neuralgia
  • cluster-tic syndrome
  • microvascular decompression
  • AUTONOMIC CEPHALALGIAS
  • NEURALGIA
  • SERIES
  • SUNCT

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