Abstract
Little is known about the aetiology or pathology of cluster headaches, and even less is known about its possible anatomical origins. In the complete form of a cluster headache, patients experience pain referred to by the first and second division of the trigeminal nerve, ocular sympathetic dysfunction (Homer's syndrome), forehead and facial sweating due to the stimulation of superior cervical ganglia projections, and parasympathetic activation which manifests as lachrymation, conjunctival injection, nasal congestion, and rhinorrhoea. Some severely affected patients are successfully treated with chemical- or heat-induced trigeminal lesions, whereas others benefit from the injection of local anaesthetics into the sphenopalatine fossa or from the removal of the sphenopalatine ganglion. It is believed that if a single 'lesion' does exist to explain all these symptoms and treatments, it must be small, and must reside within a remote region of the nervous system to escape detection by presently available diagnostic techniques. Recent anatomical data in primates suggest that such a disturbance may be localized to the superior aspect of the pericarotid cavernous sinus plexus.
| Original language | English |
|---|---|
| Title of host publication | Migraine: A Spectrum of Ideas |
| Publisher | Oxford University Press |
| ISBN (Print) | 9780191724305, 9780192618108 |
| DOIs | |
| Publication status | Published - Mar 22 2012 |
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Keywords
- Cluster headaches
- Diagnostic techniques
- Nervous system
- Pericarotid cavernous sinus plexus
- Symptoms and treatments
- Trigeminal lesions
ASJC Scopus subject areas
- Neuroscience(all)
- Medicine(all)
Cite this
The superior pericarotid cavernous sinus plexus and cluster headaches. / Moskowitz, Michael A.; Buzzi, M. Gabriella.
Migraine: A Spectrum of Ideas. Oxford University Press, 2012.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - The superior pericarotid cavernous sinus plexus and cluster headaches
AU - Moskowitz, Michael A.
AU - Buzzi, M. Gabriella
PY - 2012/3/22
Y1 - 2012/3/22
N2 - Little is known about the aetiology or pathology of cluster headaches, and even less is known about its possible anatomical origins. In the complete form of a cluster headache, patients experience pain referred to by the first and second division of the trigeminal nerve, ocular sympathetic dysfunction (Homer's syndrome), forehead and facial sweating due to the stimulation of superior cervical ganglia projections, and parasympathetic activation which manifests as lachrymation, conjunctival injection, nasal congestion, and rhinorrhoea. Some severely affected patients are successfully treated with chemical- or heat-induced trigeminal lesions, whereas others benefit from the injection of local anaesthetics into the sphenopalatine fossa or from the removal of the sphenopalatine ganglion. It is believed that if a single 'lesion' does exist to explain all these symptoms and treatments, it must be small, and must reside within a remote region of the nervous system to escape detection by presently available diagnostic techniques. Recent anatomical data in primates suggest that such a disturbance may be localized to the superior aspect of the pericarotid cavernous sinus plexus.
AB - Little is known about the aetiology or pathology of cluster headaches, and even less is known about its possible anatomical origins. In the complete form of a cluster headache, patients experience pain referred to by the first and second division of the trigeminal nerve, ocular sympathetic dysfunction (Homer's syndrome), forehead and facial sweating due to the stimulation of superior cervical ganglia projections, and parasympathetic activation which manifests as lachrymation, conjunctival injection, nasal congestion, and rhinorrhoea. Some severely affected patients are successfully treated with chemical- or heat-induced trigeminal lesions, whereas others benefit from the injection of local anaesthetics into the sphenopalatine fossa or from the removal of the sphenopalatine ganglion. It is believed that if a single 'lesion' does exist to explain all these symptoms and treatments, it must be small, and must reside within a remote region of the nervous system to escape detection by presently available diagnostic techniques. Recent anatomical data in primates suggest that such a disturbance may be localized to the superior aspect of the pericarotid cavernous sinus plexus.
KW - Cluster headaches
KW - Diagnostic techniques
KW - Nervous system
KW - Pericarotid cavernous sinus plexus
KW - Symptoms and treatments
KW - Trigeminal lesions
UR - http://www.scopus.com/inward/record.url?scp=84938834000&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938834000&partnerID=8YFLogxK
U2 - 10.1093/acprof:oso/9780192618108.003.0010
DO - 10.1093/acprof:oso/9780192618108.003.0010
M3 - Chapter
SN - 9780191724305
SN - 9780192618108
BT - Migraine: A Spectrum of Ideas
PB - Oxford University Press
ER -