A 54-year-old patient presented with two types of pain. The first was similar to trigeminal neuralgia and the second was similar to cluster headache. Clinical diagnosis was cluster-tic syndrome. Neuro-imaging studies disclosed an ectatic basilar artery. The significance of this finding is difficult to ascertain.
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http://dx.doi.org/10.1111/j.1526-4610.1993.hed3309512.x | DOI Listing |
J Neurosurg Case Lessons
July 2021
Departments of Neurosurgery and Gamma Knife Radiosurgery.
Background: Cluster-tic syndrome is a disorder characterized by the coexistence of symptoms related to both cluster headache and trigeminal neuralgia. Etiopathogenesis is not yet well defined. Medical treatment, including drugs for both cluster headache and trigeminal neuralgia, is the first therapeutic choice, whereas more invasive treatments are indicated in the case of pharmacological therapy failure or in the presence of drug side effects.
View Article and Find Full Text PDFJ Clin Med
May 2022
Children Epilepsy and EEG Center, PO, San Paolo ASL, 70132 Bari, Italy.
Trochlear Migraine has been recently described as the concurrence of strictly unilateral migraine and ipsilateral trochleodynia with relief of migraine after successful treatment of trochleodynia. This disorder has been interpreted as "cluster-tic syndrome" or "seizure-triggered migraine". Trochlear Migraine is unrecognized and rarely described in childhood.
View Article and Find Full Text PDFHeadache
September 2019
Department of Neurology, Porto Hospitalar and Universitary Centre, Porto, Portugal.
Headache
November 2017
Department of Neurology, Medical University of Vienna, Vienna, Austria.
Background: Trigeminal autonomic cephalalgias (TACs) comprise cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks, and hemicrania continua. In some cases, trigeminal neuralgia (TN, "tic douloureux") or TN-like pain may co-occur with TACs.
Aim: This article will review the co-occurrence and overlap of TACs and tics in order to contribute to a better understanding of the issue and an improved management of the patients.
Headache
April 2017
Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Background: The term "cluster-tic syndrome" is used for the rare ipsilateral co-occurrence of attacks of cluster headache and trigeminal neuralgia. Medical treatment should combine treatment for cluster headache and trigeminal neuralgia, but is very often unsatisfactory.
Case: Here, we describe a 41-year-old woman diagnosed with cluster-tic syndrome who underwent microvascular decompression of the trigeminal nerve, primarily aimed at the "trigeminal neuralgia" part of her pain syndrome.
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