PMID: 2107978Feb 1, 1990Paper

Cluster headache and "dynamite headache": blood flow velocities in the middle cerebral artery

Cephalalgia : an International Journal of Headache
J HannerzN G Wahlgren

Abstract

Nitroglycerin (NG) induces in cluster headache patients and controls an increase in systemic diastolic blood pressure and/or heart rate and a decrease in blood flow velocity in the middle cerebral artery (VMCA). Termination of NG induced cluster headache-like attack was correlated to an increase of VMCA compared to the VMCA before NG administration (p less than 0.01). This increase was not found in patients without attack or in controls. The NG induced "dynamite headache" in the controls subsided when blood pressure and heart rate were normalized, but the decrease of VMCA still prevailed. Orbital phlebograms have shown pathologic changes in cluster headache and in Tolosa-Hunt syndrome but not in controls. Ocular sympathetic nerves are involved in cluster headache but seldom in Tolosa-Hunt syndrome. It is suggested that the start of a cluster headache attack is due to an increase and the termination of the attack to a decrease of blood flow to the sympathoplegic phlebopathic cavernous sinus.

References

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Citations

Dec 12, 2001·Cephalalgia : an International Journal of Headache·E J PiovesanA L Engelhorn
Jan 1, 1993·Thyroid : Official Journal of the American Thyroid Association·A VailatiE Ascari
Nov 23, 2006·Headache·Christina SjöstrandJan Hillert
Jun 1, 2010·Cephalalgia : an International Journal of Headache·Anna SteinbergA Ingela M Nilsson Remahl
Apr 1, 1993·Cephalalgia : an International Journal of Headache·J Hannerz, T Jogestrand
Feb 1, 1992·Cephalalgia : an International Journal of Headache·J Hannerz
Jun 1, 1992·Cephalalgia : an International Journal of Headache·P KruszewskiO Sjaastad
Apr 1, 1995·Cephalalgia : an International Journal of Headache·J OlesenI J Olesen
Dec 1, 1995·Cephalalgia : an International Journal of Headache·J Hannerz, T Jogestrand
Oct 1, 2010·Acta Neurologica Scandinavica·A SteinbergA I M Nilsson Remahl
Sep 1, 1996·Arquivos de neuro-psiquiatria·E J PiovesanL C Werneck
Apr 1, 1996·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·C H TegelerR L Davis
Jan 1, 1997·Cranio : the Journal of Craniomandibular Practice·C P Vargo, D M Hickman

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