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DOI: 10.1055/s-0038-1628552
Dissektion der Halsarterien mit Donnerschlagkopfschmerz als Hauptsymptom
Zwei FälleCervical artery dissection with secondary thunderclap head-achePublication History
eingegangen am:
10 May 2013
angenommen am:
03 June 2013
Publication Date:
24 January 2018 (online)
Zusammenfassung
Dissektionen der Halsarterien werden häufig als Ursache eines sekundären Donnerschlagkopfschmerzes angegeben, es existieren allerdings nur wenige Fallberichte dazu. Wir berichten über zwei neue Patienten und eine Literaturübersicht mit elf Fällen. Patienten mit einem Donnerschlagkopfschmerz als erstes (und oftmals einziges) Symptom einer Dissektion einer Halsarterie sind jünger und häufiger weiblich und haben öfter eine Dissektion im vertebrobasilären Stromgebiet, als es von der Gesamtheit aller Patienten mit einer Dissektion der Halsarterien zu erwarten wäre. Die Prävalenz eines Donnerschlagkopfschmerzes bei allen Patienten mit einer Dissektion der Halsarterien kann auf ca. 1% geschätzt werden. Zusammenfassend ist der Donnerschlagkopfschmerz ein seltenes Symptom einer Dissektion, eine solche sollte aber bei Vorliegen eines Donnerschlagkopfschmerzes immer ausgeschlossen werden.
Summary
Cervical artery dissection has been suggested to be a cause of secondary thunderclap headache. We report two new cases and reviewed the literature resulting in a total of eleven published cases. Patients with thunderclap headache as the initial (and sometimes only) symptom of cervical artery dissection are younger, more often female, and have more often a dissection in the posterior circulation than should be expected from analyses of all patients with cervical artery dissection. The prevalence of thunderclap headache in all patients with cervical artery dissection can be estimated to be about 1%. In conclusion, thunderclap headache is a rare symptom of cervical artery dissection, but cervical artery dissection should be ruled out in all cases of thunderclap headache.
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