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March 1974

Cerebral Arterial Occlusion and Cluster Headaches in Neurofibromatosis

Author Affiliations

New York
From the departments of neurology and pediatrics (Drs. Vannucci and Solomon) and radiology (Dr. Deck), New York Hospital-Cornell University Medical Center.

Am J Dis Child. 1974;127(3):422-424. doi:10.1001/archpedi.1974.02110220120019

Cluster headache, a variant of migrainous encephalalgia, is rarely encountered in childhood. A 3½-year-old child, with cutaneous manifestations of neurofibromatosis, exhibited an episodic symptom complex consisting of unilateral facial pain, ipsilateral ptosis, lacrimation, and rhinorrhea. Neurologic investigation included cerebral angiography, which demonstrated occlusion of the right internal carotid artery. A causal relation between the patient's headache complaints and the vascular anomaly seemed likely, although the pathophysiological mechanism for the association remains speculative.

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