Two Cases of Hemicrania Continua-Trigeminal Neuralgia Syndrome: Expanding the Spectrum of Trigeminal Autonomic Cephalalgia-Tic (TAC-TIC) Syndrome

2016 ◽  
Vol 57 (3) ◽  
pp. 472-477 ◽  
Author(s):  
Sanjay Prakash ◽  
Chaturbhuj Rathore
Author(s):  
Chunyu Wang ◽  
Xiaoyan Zhang ◽  
Yanli Yang ◽  
Dongjun Wan

Hemicrania continua (HC)-tic syndrome is a rare disorder characterized by the overlap of HC and trigeminal neuralgia (TN) or TN-like paroxysms. We describe a case of secondary HC-tic syndrome related to fungal sphenoiditis. Less common causes including sphenoiditis should be considered when headache presents with a refractory and complicated form.


2019 ◽  
Author(s):  
Patrick M. Chen ◽  
Sharona Ben-Haim ◽  
Jason Handwerker ◽  
Hossein Ansari

Abstract Objective: We present a rare case of Tic-cluster in the context of venous compression of the trigeminal nerve. Background: Cluster-Tic syndrome is a rare headache condition with features of both trigeminal neuralgia (Tic) and trigeminal autonomic cephalalgia symptom (TAC). Methods: Case report and review of literature. Results: A 75-year old man presents with left sided paroxysmal pain consistent with trigeminal neuralgia (Tic). Magnetic resonance demonstrated a venous compression of the posterior-medial aspect of the left trigeminal ganglion. He underwent microvascular decompression which confirmed petrosal vein compression with subsequent symptomatic resolution. After two years of remission, he had a new left unilateral throbbing headache consistent with International Classification of Headache Disorders (ICHD)- 3 cluster headache definition, which improved with steroids. Conclusion: Cluster-Tic syndrome has variable clinical presentations. Tic can precede cluster and the possible role of venous trigeminal compression in this headache remains unclear.


2013 ◽  
Vol 34 (11) ◽  
pp. 2041-2042
Author(s):  
Rossi Valeria ◽  
Nociti Viviana ◽  
Palermo Concetta ◽  
Della Marca Giacomo ◽  
Paolo Mariotti

Cephalalgia ◽  
2021 ◽  
pp. 033310242110304
Author(s):  
Kuan-Po Peng ◽  
Marlene Schellong ◽  
Arne May

Objective The presence of aura is rare in cluster headache, and even rarer in other trigeminal autonomic cephalalgias. We hypothesized that the presence of aura in patients with trigeminal autonomic cephalalgias is frequently an epiphenomenon and mediated by comorbid migraine with aura. Methods The study retrospectively reviewed 480 patients with trigeminal autonomic cephalalgia in a tertiary medical center for 10 years. Phenotypes and temporal correlation of aura with headache were analyzed. Trigeminal autonomic cephalalgia patients with aura were further followed up in a structured telephone interview. Results Seventeen patients with aura (3.5%) were identified from 480 patients with trigeminal autonomic cephalalgia, including nine with cluster headache, one with paroxysmal hemicrania, three with hemicrania continua, and four with probable trigeminal autonomic cephalalgia. Compared to trigeminal autonomic cephalalgia patients without aura, trigeminal autonomic cephalalgia patients with aura were more likely to have a concomitant diagnosis of migraine with aura (odds ratio [OR] = 109.0, 95% CI 30.9–383.0, p < 0.001); whereas the risk of migraine without aura remains similar between both groups (OR = 1.10, 95% CI = 0.14–8.59, p = 0.931). Aura was more frequently accompanied with migraine-like attacks, but not trigeminal autonomic cephalalgia attacks. Interpretation In most patients with trigeminal autonomic cephalalgia, the presence of aura is mediated by the comorbidity of migraine with aura. Aura directly related to trigeminal autonomic cephalalgia attack may exist but remains rare. Our results suggest that aura may not be involved in the pathophysiology of trigeminal autonomic cephalalgia.


Cephalalgia ◽  
2001 ◽  
Vol 21 (9) ◽  
pp. 917-920 ◽  
Author(s):  
PA Kowacs ◽  
EJ Piovesan ◽  
CE Tatsui ◽  
MC Lange ◽  
LC Werneck ◽  
...  

2019 ◽  
Vol 58 (5) ◽  
pp. 723-725
Author(s):  
Yuji Kato ◽  
Yumeka Tamai ◽  
Takeshi Hayashi ◽  
Satoko Mizuno ◽  
Norio Tanahashi ◽  
...  

2013 ◽  
Vol 35 (5) ◽  
pp. 809-809
Author(s):  
Valeria Rossi ◽  
Viviana Nociti ◽  
Concetta Palermo ◽  
Giacomo Della Marca ◽  
Paolo Mariotti

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