دورية أكاديمية

Nutcracker syndrome mimicking new daily persistent headache: A case report

التفاصيل البيبلوغرافية
العنوان: Nutcracker syndrome mimicking new daily persistent headache: A case report
المؤلفون: Stubberud, Anker, Cheema, Sanjay, Tronvik, Erling, Matharu, Manjit
المصدر: Cephalalgia ; volume 40, issue 9, page 1008-1011 ; ISSN 0333-1024 1468-2982
بيانات النشر: SAGE Publications
سنة النشر: 2020
الوصف: Introduction Compression of the duodenum and left renal vein between the aorta and superior mesenteric artery usually leads to symptoms of proximal bowel obstruction or hematuria and, more rarely, nonspecific mild headaches. Case A young woman presented with new daily persistent headache refractory to numerous pharmacological treatments, onabotulinumtoxinA, nerve blocks, and occipital nerve stimulation. Following several years of daily severe headache, worsening abdominal pain and intolerance for food intake led to the discovery of aortomesenteric compression. Surgical treatment gave prompt improvement in gastric symptoms but also essentially resolved the headache. Conclusion This is the first description of new daily persistent headache in association with aortomesenteric compression as well as marked improvement of headache following aortomesenteric decompression. In patients with new daily persistent headache and orthostatic symptoms one may consider a differential diagnosis of Nutcracker syndrome, especially in patients with comorbid hypermobility syndromes, hematuria or gastric symptoms.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/0333102420918554
الإتاحة: https://doi.org/10.1177/0333102420918554Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.3FD5CB3D
قاعدة البيانات: BASE