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KMID : 1130620100060020099
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Journal of Clinical Neurology
2010 Volume.6 No. 2 p.99 ~ p.101
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A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram
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Yang Young-Soon
Jeong Du-Shin
Jin Dong-Kyu
Jang Il-Mi
Jang Young-Hee
Na Hae-Ri
Kim San-Yun
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Abstract
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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.
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KEYWORD
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cardiac cephalalgia, angina pectoris, headache
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