TY - JOUR
T1 - Headache profiles in patients with a dilatated cyst of the cavum septi pellucidi
AU - Wang, K. C.
AU - Fuh, J. L.
AU - Lirng, J. F.
AU - Huang, W. C.
AU - Wang, Shuu Jiun
N1 - Funding Information:
This study was supported in part by a grant from Veterans General Hospital-Taipei (VGH 331).
PY - 2004/10
Y1 - 2004/10
N2 - The dilatated cyst of the cavum septi pellucidi (CSP) is rare and may be associated with headaches. We reviewed the computerized database of 54 000 patients' computed tomography or magnetic resonance images and found 22 cases (0.04%) involving a dilatated cyst of the CSP. Sixteen patients had a chief complaint of headache, which was classified as acute episodic headache (type I, n = 7, 43.7%), chronic daily headache (CDH) with acute onset (type II, n = 5, 31.3%), or CDH with insidious onset (type III, n = 4, 25%). Acute Valsalva-induced headaches were common with type I (85%) or II (100%); 70% of these responded to indomethacin. At follow-up, patients with type I headache had the highest remission rate (71%), and type III patients the lowest (0%). Dilatated cysts of the CSP should be considered a cause of acute Valsalva-induced headache or new daily persistent headache, and may respond to indomethacin. A protracted course (≥3 months) indicates a worse outcome.
AB - The dilatated cyst of the cavum septi pellucidi (CSP) is rare and may be associated with headaches. We reviewed the computerized database of 54 000 patients' computed tomography or magnetic resonance images and found 22 cases (0.04%) involving a dilatated cyst of the CSP. Sixteen patients had a chief complaint of headache, which was classified as acute episodic headache (type I, n = 7, 43.7%), chronic daily headache (CDH) with acute onset (type II, n = 5, 31.3%), or CDH with insidious onset (type III, n = 4, 25%). Acute Valsalva-induced headaches were common with type I (85%) or II (100%); 70% of these responded to indomethacin. At follow-up, patients with type I headache had the highest remission rate (71%), and type III patients the lowest (0%). Dilatated cysts of the CSP should be considered a cause of acute Valsalva-induced headache or new daily persistent headache, and may respond to indomethacin. A protracted course (≥3 months) indicates a worse outcome.
KW - Cavum septi pellucidi
KW - Exertional headache
KW - MRI
KW - New daily persistent headache
UR - http://www.scopus.com/inward/record.url?scp=4844226321&partnerID=8YFLogxK
U2 - 10.1111/j.1468-2982.2004.00760.x
DO - 10.1111/j.1468-2982.2004.00760.x
M3 - Review article
C2 - 15377318
AN - SCOPUS:4844226321
SN - 0333-1024
VL - 24
SP - 867
EP - 874
JO - Cephalalgia
JF - Cephalalgia
IS - 10
ER -