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Related Experiment Video

Updated: Aug 28, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Chronic Headache Attributed to Vertebrobasilar Insufficiency.

Sang Woo Ha1, Young Seo Kim2, Eun Joo Yoon3

  • 1Department of Neurosurgery, Chosun University School of Medicine, Gwangju 61453, Korea.

Diagnostics (Basel, Switzerland)
|September 23, 2022
PubMed
Summary

Vertebrobasilar insufficiency can cause headaches. This study shows that treating severe left vertebral artery stenosis with stent insertion successfully relieved chronic headaches in a patient.

Keywords:
aneurysmheadachestentvertebral arteryvertebrobasilar insufficiency

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Radiology

Background:

  • Vertebrobasilar insufficiency involves reduced blood flow to the brain's posterior circulation.
  • The precise mechanisms linking this condition to headaches are not fully elucidated.
  • Headaches are a common symptom, but their specific presentation can vary.

Purpose of the Study:

  • To investigate the relationship between vertebrobasilar insufficiency and chronic headaches.
  • To evaluate the efficacy of endovascular treatment for severe vertebral artery stenosis causing headaches.

Main Methods:

  • A case study of a patient presenting with intermittent headaches.
  • Diagnostic imaging using computed tomography angiography (CTA) to assess the vertebral arteries.
  • Interventional procedure involving stent insertion to address left vertebral artery stenosis.

Main Results:

  • The patient reported headaches similar to chronic tension-type headaches, radiating from the left shoulder.
  • CTA revealed severe stenosis of the left vertebral artery.
  • Stent placement successfully recanalized the stenotic artery segment.
  • Headache symptoms resolved post-intervention and remained absent during a one-year follow-up.

Conclusions:

  • Severe left vertebral artery stenosis can be a cause of chronic headaches.
  • Stent insertion is an effective treatment for headaches secondary to significant vertebral artery stenosis.
  • Endovascular treatment offers a viable therapeutic option for selected patients with vertebrobasilar insufficiency-related headaches.