Pacemaker implantation for treating migraine-like headache secondary to cardiac arrhythmia: A case report

Yu-Hong Man1, Xiao-Li Meng, Ting-Min Yu

  • 1Department of Neurology, The Second Hospital of Jilin University, Changchun, China.

Medicine
|December 19, 2018
PubMed

Insights

Cardiac arrhythmia can cause migraine-like headaches. Pacemaker implantation successfully treated a patient

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Headache and arrhythmia frequently co-occur, but a causal link is not well-established.
  • This study explores a potential relationship between cardiac arrhythmias and secondary migraine-like headaches.

Observation:

  • A 63-year-old woman presented with migraine-like headaches and visual aura.
  • Cardiac evaluation revealed bradycardia, ventricular premature beats, and supraventricular tachycardia.
  • Cerebral angiography showed a carotid artery bifurcation lesion.

Findings:

  • The patient's migraine-like headaches and visual aura resolved completely after pacemaker implantation.
  • This suggests a direct causal link between the diagnosed cardiac arrhythmia and the headache symptoms.

Implications:

  • This case report is the first to describe migraine-like headaches as a secondary symptom of cardiac arrhythmia.
  • Pacemaker implantation may serve as a definitive treatment for such cases, particularly when co-existing with cerebrovascular lesions.
  • Highlights the importance of cardiac evaluation in patients with refractory migraine-like headaches.
Abstract

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