A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram.
- Author:
YoungSoon YANG
1
;
Dushin JEONG
;
Dong Gyu JIN
;
Il Mi JANG
;
YoungHee JANG
;
Hae Ri NA
;
SanYun KIM
Author Information
- Publication Type:Case Report
- Keywords: cardiac cephalalgia; angina pectoris; headache
- MeSH: Acetylcholine; Adult; Angina Pectoris; Cardiac Catheterization; Cardiac Catheters; Coronary Vasospasm; Coronary Vessels; Electrocardiography; Female; Headache; Headache Disorders; Humans; Ischemia; Nitroglycerin; Spasm; Thorax
- From:Journal of Clinical Neurology 2010;6(2):99-101
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Under certain conditions, exertional headaches may reflect coronary ischemia. CASE REPORT: A 44-year-old woman developed intermittent exercise-induced headaches with chest tightness over a period of 10 months. Cardiac catheterization followed by acetylcholine provocation demonstrated a right coronary artery spasm with chest tightness, headache, and ischemic effect of continuous electrocardiography changes. The patient's headache disappeared following intra-arterial nitroglycerine injection. CONCLUSIONS: A coronary angiogram with provocation study revealed variant angina and cardiac cephalalgia, as per the International Classification of Headache Disorders (code 10.6). We report herein a patient with cardiac cephalalgia that manifested as reversible coronary vasospasm following an acetylcholine provocation test.
