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J Clin Neurosci. 2016 Jan;23:38-43. doi: 10.1016/j.jocn.2015.08.003. Epub 2015 Oct 13.

Arteriovenous malformations and headache.

Author information

1
Department of Neurological Surgery, Columbia University Medical Center, 710 West 168th Street, New York, NY 10032, USA. Electronic address: jae2109@columbia.edu.
2
Department of Neurological Surgery, Columbia University Medical Center, 710 West 168th Street, New York, NY 10032, USA.

Abstract

Brain arteriovenous malformations (AVM) are complex vascular lesions commonly associated with chronic headache. An occipital location appears to increase the risk of concurrent migraine-like headaches in AVM patients. We have experienced great success in treating these headaches through a multidisciplinary approach to eradicate cerebral AVM. However, the specific clinical characteristics of AVM-associated headaches and the most effective treatment strategies for these patients remain unclear. Here, we provide a comprehensive review of the literature on AVM-associated headaches. We detail the history, classification, epidemiology, presentation, pathophysiology, treatment options, and outcomes for this poorly described condition. Additionally, we illustrate our approach to the management of patients with occipital AVM and associated intractable headaches.

KEYWORDS:

Aura; Brain hemorrhage; Headache; Migraine; Stroke; Vascular malformation

PMID:
26461909
DOI:
10.1016/j.jocn.2015.08.003
[Indexed for MEDLINE]

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