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Epicrania Fugax as the presenting symptom of a cerebellar abscess.
- Source :
-
Cephalalgia : an international journal of headache [Cephalalgia] 2019 Aug; Vol. 39 (9), pp. 1200-1203. Date of Electronic Publication: 2019 Mar 20. - Publication Year :
- 2019
-
Abstract
- Background: Epicrania fugax is included in the appendix of the International Classification of Headache Disorders and is characterized as recurrent brief attacks of linear or zigzag pain moving across the cranial surface, commencing and terminating in the distribution of different nerves. We present a new case of epicrania fugax in which the headache was the presenting symptom of a cerebellar abscess.<br />Case Report: We present a 58-year-old woman with prior history of Chiari I malformation who underwent suboccipital craniectomy. Two weeks after surgery, she experienced paroxysmal pain episodes of 1-3 seconds, with constant linear trajectory from the right occipital surface to the right orbital region, remaining pain free between episodes. Cranial tomography showed a hypodense intraaxial lesion in the right cerebellar hemisphere. Magnetic Resonance Imaging exhibited intralesional bleeding and peripheral enhancement after gadolinium administration. Post-surgical cerebellar abscess was diagnosed and antibiotic therapy was started; the patient underwent urgent surgical drainage. Pain disappeared after the surgery and the patient remains pain free with 12 months of follow-up.<br />Conclusion: Posterior fossa abnormalities have been described as a possible cause of secondary epicrania fugax. The presence of red flags should encourage conducting of paraclinical tests to rule out a symptomatic form.
- Subjects :
- Anti-Bacterial Agents therapeutic use
Arnold-Chiari Malformation surgery
Brain Abscess drug therapy
Brain Abscess surgery
Cerebellar Diseases drug therapy
Cerebellar Diseases surgery
Craniotomy adverse effects
Drainage methods
Female
Humans
Middle Aged
Postoperative Complications surgery
Brain Abscess complications
Cerebellar Diseases complications
Headache etiology
Postoperative Complications etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1468-2982
- Volume :
- 39
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Cephalalgia : an international journal of headache
- Publication Type :
- Academic Journal
- Accession number :
- 30894017
- Full Text :
- https://doi.org/10.1177/0333102419839793