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Vol. 51, No. 4, 2004
Issue release date: June 2004
Eur Neurol 2004;51:221–226

Cardiac Cephalalgia

Case Report and Review of the Literature with New ICHD-II Criteria Revisited

Chen S.-P. · Fuh J.-L. · Yu W.-C. · Wang S.-J.
aNeurological Institute, and bSection of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, and cNational Yang-Ming University School of Medicine, Taipei, Taiwan

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We report a patient with cardiac cephalalgia and review reported cases from the English-language literature based on the new diagnostic criteria published in the International Classification of Headache Disorders, ed 2. Twenty-two patients, including ours, with headaches of cardiac origin were reviewed. The cases fit three of the four new criteria well: Criteria B (acute myocardial ischemia has occurred, 100%), C (headache developed concomitantly with acute myocardial ischemia, 100%), and D (headache resolved and does not recur after effective medical or surgical treatment for myocardial ischemia, 83%). The cases in which we had exceptions were to the proposed headache features (criterion A), which were generally not fulfilled, with nausea as the least frequent finding (27%); this criterion might not be mandatory for diagnosis.

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