Stubberud, A;
Cheema, S;
Tronvik, E;
Matharu, M;
(2020)
Nutcracker syndrome mimicking new daily persistent headache: A case report.
Cephalalgia
, 40
(9)
pp. 1008-1011.
10.1177/0333102420918554.
Preview |
Text
Cheema_Nutcracker syndrome mimicking new daily persistent headache- A case report_VoR.pdf - Published Version Download (479kB) | Preview |
Abstract
INTRODUCTION: Compression of the duodenum and left renal vein between the aorta and superior mesenteric artery usually leads to symptoms of proximal bowel obstruction or hematuria and, more rarely, nonspecific mild headaches. CASE: A young woman presented with new daily persistent headache refractory to numerous pharmacological treatments, onabotulinumtoxinA, nerve blocks, and occipital nerve stimulation. Following several years of daily severe headache, worsening abdominal pain and intolerance for food intake led to the discovery of aortomesenteric compression. Surgical treatment gave prompt improvement in gastric symptoms but also essentially resolved the headache. CONCLUSION: This is the first description of new daily persistent headache in association with aortomesenteric compression as well as marked improvement of headache following aortomesenteric decompression. In patients with new daily persistent headache and orthostatic symptoms one may consider a differential diagnosis of Nutcracker syndrome, especially in patients with comorbid hypermobility syndromes, hematuria or gastric symptoms.
| Type: | Article |
|---|---|
| Title: | Nutcracker syndrome mimicking new daily persistent headache: A case report |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/0333102420918554 |
| Publisher version: | https://doi.org/10.1177/0333102420918554 |
| Language: | English |
| Additional information: | © 2021 by International Headache Society. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/). |
| Keywords: | CSF pressure, Nutcracker syndrome, Superior mesenteric artery syndrome, surgery |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10096286 |
Archive Staff Only
 |
View Item |
