Cerebral aneurysm and chronic migraine, a challenge for the clinician

Authors

  • Miguel Ángel Medina-Pabón Médico, Universidad Industrial de Santander (UIS), Colombia Epidemiología, Universidad CES (Corporación para Estudios en la Salud), Medellín, Colombia

DOI:

https://doi.org/10.32818/reccmi.a4n1a7

Keywords:

chronic migraine, cerebral aneurysm, headache due to analgesic abuse, anterior cerebral artery, headache.

Abstract

The rupture of a cerebral aneurysm is a serious illness that can lead to a disturbing prognosis if it is not diagnosed in time. Cerebral aneurysm in patients with chronic migraine and headache due to analgesic abuse is rare, but its appearance leads to diagnostic confusion. I present the case of an elderly adult patient, smoker, multi-consul- tant for chronic migraine attacks, with a change in the pattern of her headache, which required neuroimaging and endovascular therapy for a saccular aneurysm in the right anterior cerebral artery without complications. In conclusion, the role of the clinic and neuroimaging are the key to diagnose a possible brain aneurysm.

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References

Leclerc JL, García JM, Diller MA, Carpenter AM, Kamat PK, Hoh BL, et al. A comparison of pathophysiology in humans and rodent models of subarachnoid hemorrhage. Front Mol Neurosci [Internet]. 22 de marzo de 2018 [citado 11 de julio de 2018]; 11. Disponible en: https://journal. frontiersin.org/article/10.3389/fnmol.2018.00071/full.

Sadasivan C, Fiorella DJ, Woo HH, Lieber BB. Physical factors effecting cerebral aneurysm pathophysiology. Ann Biomed Eng. 2013 Jul; 41(7): 1347-1365. doi: https://doi.org/10.1007/s10439-013-0800-z.

Etminan N, Buchholz BA, Dreier R, Bruc P, Torner JC, Steiger HJ, Hänggi D, Macdonald RL. Cerebral aneurysms: formation, progression, and developmental chronology. Transl Stroke Res. 2014 Apr; 5(2): 167-173. doi: https://doi.org/10.1007/s12975-013-0294-x.

Lago A, López-Cuevas R, Tembl JI, Fortea G, Górriz D, Aparici F, Parkhutik

V. Tendencies in cerebral aneurism treatment: analysis of a hospital series. Neurología. 2017 Jul-Aug; 32(6): 371-376. doi: https://doi.org/10.1016/j.nrl.2015.12.011.

Zhao M, Liu CS, Xu XY, Xiao YP, Fang C. Unruptured saccular aneurysm presenting migraine. Genet Mol Res. 2014 Jan 24; 13(2): 4046-4049. doi: https://doi.org/10.4238/2014.January.24.19.

Zhao L, Zhang L, Zhang X, Li Z, Tian L, Wang YX. An analysis of 1256 cases of sporadic ruptured cerebral aneurysm in a single Chinese institution. PLoS One. 2014 Jan 15; 9(1): e85668. doi: https://doi.org/10.1371/journal.pone.0085668.

Zhou G, Zhu Y, Yin Y, Su M, Li M. Association of wall shear stress with intracranial aneurysm rupture: systematic review and meta-analysis. Sci Rep. 2017 Jul 13; 7(1): 5331. doi: https://doi.org/10.1038/s41598-017-05886-w.

Asiltürk M, Abdallah A. Clinical outcomes of multiple aneurysms micro-surgical clipping: evaluation of 90 patients. Neurol Neurochir Pol. 2018 Jan-Feb; 52(1): 15-24. doi: https://doi.org/10.1016/j.pjnns.2017.09.005.

Lebedeva ER, Busygina AV, Kolotvinov VS, Sakovich VP, Olesen J. Remission of migraine after clipping of saccular intracranial aneurysms. Acta Neurol Scand. 2015 Feb; 131(2): 120-126. doi: https://doi.org/10.1111/ane.12292.

Sergeev AV. Migraine 'masks': differential diagnosis of acute headache. Zh Nevrol Psikhiatr Im S S Korsakova. 2018; 118(1): 96-102. doi: https://doi.org/10.17116/jnevro20181181196-102.

Mitsikostas DD, Ashina M, Craven A, Diener HC, Goadsby PJ, Ferrari MD, et al. J Headache Pain. 2015; 17: 5. doi: https://doi.org/10.1186/s10194-016-0596-y.

Mier RW, Dhadwal S. Primary headaches. Dent Clin North Am. 2018 Oct; 62(4): 611-628. doi: https://doi.org/10.1016/j.cden.2018.06.006.

Starling AJ. Diagnosis and management of headache in older adults. Mayo Clin Proc. 2018 Feb; 93(2): 252-262. doi: https://doi.org/10.1016/j.mayocp.2017.12.002.

Published

2019-04-30

How to Cite

1.
Medina-Pabón M Ángel. Cerebral aneurysm and chronic migraine, a challenge for the clinician. Rev Esp Casos Clin Med Intern [Internet]. 2019 Apr. 30 [cited 2024 Dec. 26];4(1):18-20. Available from: https://www.reccmi.com/RECCMI/article/view/358