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2016 ; 5
(ä): 315
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
A recurrent headache circumscribed in a coronal line-shaped area around the head:
a coronal linear headache
#MMPMID27066346
Wang L
; Pan JF
; Lu YY
; Hu LH
; Lu YN
; Pan QQ
; Wang Y
Springerplus
2016[]; 5
(ä): 315
PMID27066346
show ga
BACKGROUND: Linear headache (LH) has recently been described as a paroxysmal or
continuous head pain restricted in a linear trajectory of 5-10 mm in width,
linking one endpoint in occipital or occipitocervical region with another
endpoint in ipsilateral nasion or forehead region. The sagittal line-shaped pain
area of LH is close and parallel to a sagittal venous sinus, the superior
sagittal sinus (SSS). For some patients, the LH had some features resembling the
pattern of migraine without aura. CASE DESCRIPTION: A 45 year-old woman
complained with a distinct headache for more than half years. The pain trajectory
of the headache is confined to a coronal line-shaped area of 5-10 mm in width
linking the two points in the bilateral temporal regions with the occipital
protuberance. This coronal line-shaped pain area is close and parallel to a
coronal cambered venous sinus complex, the combination of the confluences of
sinus and the bilateral cavernous sinus (CS), superior petrosal sinus (SPS)
linking the CS with transverse sinus (TS) and TS into which the SPS feeds. The
patient had a past history of migraine without aura for 10 years and her son had
a benign paroxysmal vertigo (BPV) for 12 years. Both of her coronal line-shaped
headache and her son's vertigo had well response to sodium valproate. DISCUSSION
AND EVALUATION: Its clinical characteristics were distinctly different from those
of other two headache entities defined with topographical criteria, nummular
headache and epicrania fugax, and different from other existing headache entities
except for migraine without aura. CONCLUSION: The distinct coronal line-shaped
headache is suggestive of a variant of LH, a coronal LH, and probably belongs to
a subtype of migraine without aura as proposed for LH. This coronal LH reinforces
the proposal of LH as a new headache syndrome or a subtype of a previously known
headache syndrome, probably of migraine.