Cardiac cephalgia: A treatable form of exertional headache

Richard B. Lipton; T. Lowenkopf; Z. H. Bajwa; R. S. Leckie; S. Ribeiro; L. C. Newman; M. A. Greenberg

doi:10.1212/WNL.49.3.813

Cardiac cephalgia: A treatable form of exertional headache

Richard B. Lipton, T. Lowenkopf, Z. H. Bajwa, R. S. Leckie, S. Ribeiro, L. C. Newman, M. A. Greenberg

Research output: Contribution to journal › Article › peer-review

104 Scopus citations

Abstract

We report two patients with exertional headaches beginning with vigorous exercise and relieved by rest. Neurologic evaluation and neuroimaging were normal in both. During exercise stress testing, the onset of the patients' typical headaches correlated with ECG changes indicative of myocardial ischemia. In both patients coronary angiography revealed three-vessel disease, and myocardial revascularization procedures were followed by complete resolution of headaches. Based on these patients, and a review of prior similar reports, we conclude that myocardial ischemia is a rare and treatable cause of exertional headache. Accurate diagnosis is critical to controlling headaches and preventing myocardial infarction.

Original language	English (US)
Pages (from-to)	813-816
Number of pages	4
Journal	Neurology
Volume	49
Issue number	3
DOIs	https://doi.org/10.1212/WNL.49.3.813
State	Published - Sep 1997

ASJC Scopus subject areas

Clinical Neurology

Access to Document

10.1212/WNL.49.3.813

Cite this

@article{a4bd45428ace44bfb96125fbe9bacdd1,

title = "Cardiac cephalgia: A treatable form of exertional headache",

abstract = "We report two patients with exertional headaches beginning with vigorous exercise and relieved by rest. Neurologic evaluation and neuroimaging were normal in both. During exercise stress testing, the onset of the patients' typical headaches correlated with ECG changes indicative of myocardial ischemia. In both patients coronary angiography revealed three-vessel disease, and myocardial revascularization procedures were followed by complete resolution of headaches. Based on these patients, and a review of prior similar reports, we conclude that myocardial ischemia is a rare and treatable cause of exertional headache. Accurate diagnosis is critical to controlling headaches and preventing myocardial infarction.",

author = "Lipton, {Richard B.} and T. Lowenkopf and Bajwa, {Z. H.} and Leckie, {R. S.} and S. Ribeiro and Newman, {L. C.} and Greenberg, {M. A.}",

year = "1997",

month = sep,

doi = "10.1212/WNL.49.3.813",

language = "English (US)",

volume = "49",

pages = "813--816",

journal = "Neurology",

issn = "0028-3878",

publisher = "Lippincott Williams and Wilkins",

number = "3",

}

TY - JOUR

T1 - Cardiac cephalgia

T2 - A treatable form of exertional headache

AU - Lipton, Richard B.

AU - Lowenkopf, T.

AU - Bajwa, Z. H.

AU - Leckie, R. S.

AU - Ribeiro, S.

AU - Newman, L. C.

AU - Greenberg, M. A.

PY - 1997/9

Y1 - 1997/9

N2 - We report two patients with exertional headaches beginning with vigorous exercise and relieved by rest. Neurologic evaluation and neuroimaging were normal in both. During exercise stress testing, the onset of the patients' typical headaches correlated with ECG changes indicative of myocardial ischemia. In both patients coronary angiography revealed three-vessel disease, and myocardial revascularization procedures were followed by complete resolution of headaches. Based on these patients, and a review of prior similar reports, we conclude that myocardial ischemia is a rare and treatable cause of exertional headache. Accurate diagnosis is critical to controlling headaches and preventing myocardial infarction.

AB - We report two patients with exertional headaches beginning with vigorous exercise and relieved by rest. Neurologic evaluation and neuroimaging were normal in both. During exercise stress testing, the onset of the patients' typical headaches correlated with ECG changes indicative of myocardial ischemia. In both patients coronary angiography revealed three-vessel disease, and myocardial revascularization procedures were followed by complete resolution of headaches. Based on these patients, and a review of prior similar reports, we conclude that myocardial ischemia is a rare and treatable cause of exertional headache. Accurate diagnosis is critical to controlling headaches and preventing myocardial infarction.

UR - http://www.scopus.com/inward/record.url?scp=0030870487&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030870487&partnerID=8YFLogxK

U2 - 10.1212/WNL.49.3.813

DO - 10.1212/WNL.49.3.813

M3 - Article

C2 - 9305346

AN - SCOPUS:0030870487

SN - 0028-3878

VL - 49

SP - 813

EP - 816

JO - Neurology

JF - Neurology

IS - 3

ER -

Cardiac cephalgia: A treatable form of exertional headache

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this