Focal headache during balloon inflation in the internal carotid and middle cerebral arteries

Although a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and...

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Main Author: Nichols III, Fenwick (author)
Other Authors: Mawad, Michel (author), Mohr, J.P. (author), Stein, Bennett (author), Hilal, Sadek (author), Michelsen, Jost (author)
Format: article
Published: 1990
Online Access:http://hdl.handle.net/10725/10997
https://doi.org/10.1161/01.STR.21.4.555
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.ahajournals.org/doi/abs/10.1161/01.str.21.4.555
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author Nichols III, Fenwick
author2 Mawad, Michel
Mohr, J.P.
Stein, Bennett
Hilal, Sadek
Michelsen, Jost
author2_role author
author
author
author
author
author_facet Nichols III, Fenwick
Mawad, Michel
Mohr, J.P.
Stein, Bennett
Hilal, Sadek
Michelsen, Jost
author_role author
dc.creator.none.fl_str_mv Nichols III, Fenwick
Mawad, Michel
Mohr, J.P.
Stein, Bennett
Hilal, Sadek
Michelsen, Jost
dc.date.none.fl_str_mv 1990
2019-07-08T10:36:07Z
2019-07-08T10:36:07Z
2019-07-08
dc.identifier.none.fl_str_mv 1524-4628
http://hdl.handle.net/10725/10997
https://doi.org/10.1161/01.STR.21.4.555
Nichols 3rd, F. T., Mawad, M., Mohr, J. P., Stein, B., Hilal, S., & Michelsen, W. J. (1990). Focal headache during balloon inflation in the internal carotid and middle cerebral arteries. Stroke, 21(4), 555-559.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.ahajournals.org/doi/abs/10.1161/01.str.21.4.555
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Stroke
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Although a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and middle cerebral artery stem during embolization therapy for intracerebral arteriovenous malformations. Eleven patients had reproducible patterns of headache during balloon inflation. Inflation in the proximal middle cerebral artery stem produced pain primarily in the ipsilateral temple, that in the middle of the middle cerebral artery stem produced pain referred primarily retro-orbitally, and inflation in the distal middle cerebral artery stem produced pain referred primarily to the forehead. Experimental studies have demonstrated similar patterns of referred pain. The fact that these areas of referred pain are so reproducible is of potentially great clinical importance in the approach to management of patients with cerebrovascular disease.
eu_rights_str_mv openAccess
format article
id LAURepo_fed980248abce8fe461ac40cc90e7e69
identifier_str_mv 1524-4628
Nichols 3rd, F. T., Mawad, M., Mohr, J. P., Stein, B., Hilal, S., & Michelsen, W. J. (1990). Focal headache during balloon inflation in the internal carotid and middle cerebral arteries. Stroke, 21(4), 555-559.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/10997
publishDate 1990
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spelling Focal headache during balloon inflation in the internal carotid and middle cerebral arteriesNichols III, FenwickMawad, MichelMohr, J.P.Stein, BennettHilal, SadekMichelsen, JostAlthough a number of reports are available on the occurrence of headache in patients with ischemic cerebrovascular disease, most studies have recorded the frequency but not the specific sites of the pain. We report 18 patients who underwent balloon inflation in the distal internal carotid artery and middle cerebral artery stem during embolization therapy for intracerebral arteriovenous malformations. Eleven patients had reproducible patterns of headache during balloon inflation. Inflation in the proximal middle cerebral artery stem produced pain primarily in the ipsilateral temple, that in the middle of the middle cerebral artery stem produced pain referred primarily retro-orbitally, and inflation in the distal middle cerebral artery stem produced pain referred primarily to the forehead. Experimental studies have demonstrated similar patterns of referred pain. The fact that these areas of referred pain are so reproducible is of potentially great clinical importance in the approach to management of patients with cerebrovascular disease.PublishedN/A2019-07-08T10:36:07Z2019-07-08T10:36:07Z19902019-07-08Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1524-4628http://hdl.handle.net/10725/10997https://doi.org/10.1161/01.STR.21.4.555Nichols 3rd, F. T., Mawad, M., Mohr, J. P., Stein, B., Hilal, S., & Michelsen, W. J. (1990). Focal headache during balloon inflation in the internal carotid and middle cerebral arteries. Stroke, 21(4), 555-559.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.ahajournals.org/doi/abs/10.1161/01.str.21.4.555enStrokeinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/109972021-03-19T10:45:20Z
spellingShingle Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
Nichols III, Fenwick
status_str publishedVersion
title Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
title_full Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
title_fullStr Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
title_full_unstemmed Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
title_short Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
title_sort Focal headache during balloon inflation in the internal carotid and middle cerebral arteries
url http://hdl.handle.net/10725/10997
https://doi.org/10.1161/01.STR.21.4.555
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.ahajournals.org/doi/abs/10.1161/01.str.21.4.555