Arteriovenous malformations and headache

被引:16
|
作者
Ellis, Jason A. [1 ]
Munne, Juan C. Mejia [1 ]
Lavine, Sean D. [1 ]
Meyers, Philip M. [1 ]
Connolly, E. Sander, Jr. [1 ]
Solomon, Robert A. [1 ]
机构
[1] Columbia Univ, Med Ctr, Dept Neurol Surg, New York, NY 10032 USA
关键词
Aura; Brain hemorrhage; Headache; Migraine; Stroke; Vascular malformation; SPREADING DEPRESSION; STEREOTACTIC RADIOSURGERY; CLINICAL CHARACTERISTICS; ENDOVASCULAR TREATMENT; CLASSIC MIGRAINE; BRAIN; MECHANISMS; RESOLUTION; REMOVAL; EMBOLIZATION;
D O I
10.1016/j.jocn.2015.08.003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Brain arteriovenous malformations (AVM) are complex vascular lesions commonly associated with chronic headache. An occipital location appears to increase the risk of concurrent migraine-like headaches in AVM patients. We have experienced great success in treating these headaches through a multi-disciplinary approach to eradicate cerebral AVM. However, the specific clinical characteristics of AVM-associated headaches and the most effective treatment strategies for these patients remain unclear. Here, we provide a comprehensive review of the literature on AVM-associated headaches. We detail the history, classification, epidemiology, presentation, pathophysiology, treatment options, and outcomes for this poorly described condition. Additionally, we illustrate our approach to the management of patients with occipital AVM and associated intractable headaches. (C) 2015 Published by Elsevier Ltd.
引用
收藏
页码:38 / 43
页数:6
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