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Arquivos de Neuro-Psiquiatria
versión impresa ISSN 0004-282X
AMARAL, Vanise et al. Patent foramen ovale in trigeminal autonomic cephalalgias and hemicrania continua: a non-specific pathophysiological occurrence?. Arq. Neuro-Psiquiatr. [online]. 2010, vol.68, n.4, pp. 627-631. ISSN 0004-282X. http://dx.doi.org/10.1590/S0004-282X2010000400028.
Patent foramen ovale (PFO), a relatively common abnormality in adults, has been associated with migraine. Few studies also linked PFO with cluster headache (CH). To verify whether right-to-left shunt (RLS) is related to headaches other than migraine and CH, we used transcranial Doppler following microbubbles injection to detect shunts in 24 CH, 7 paroxysmal hemicrania (PH), one SUNCT, two hemicrania continua (HC) patients; and 34 matched controls. RLS was significantly more frequent in CH than in controls (54% vs. 25%, p=0.03), particularly above the age of 50. In the HC+PH+SUNCT group, RLS was found in 6 patients and in 2 controls (p=0.08). Smoking as well as the Epworth Sleepiness Scale correlated significantly with CH, smoking being more frequent in patients with RLS. PFO may be non-specifically related to trigeminal autonomic cephalalgias and HC. The headache phenotype in PFO patients probably depends on individual susceptibility to circulating trigger factors.
Palabras clave : patent foramen ovale; right-to-left shunt; cluster headache; paroxysmal hemicrania; migraine; SUNCT; hemicrania continua.