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Published in: Acta Neurochirurgica 8/2017

01-08-2017 | Case Report - Functional

Delayed-onset post-craniotomy headache responsive to botulinum toxin A: a case series

Authors: Danièle Ranoux, Gaëlle Martiné, Gaëlle Espagne, Henri Salle, François Caire

Published in: Acta Neurochirurgica | Issue 8/2017

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Abstract

We report here the case of four patients presenting with delayed-onset temporal pain after pterional craniotomy. They reported similar symptoms: attacks of pain over the temporal region, ipsilateral to the operative site, irradiating around the eye and lasting from 10 min to 1 h. All patients had hypertrophy of at least one part of the temporalis muscle. All responded dramatically to botulinum toxin A injection (25 to 50 Botox® units) into the temporalis muscle. We suggest that the headaches were caused by aberrant nerve regeneration following surgical injury to the frontal branch of the facial nerve.
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Metadata
Title
Delayed-onset post-craniotomy headache responsive to botulinum toxin A: a case series
Authors
Danièle Ranoux
Gaëlle Martiné
Gaëlle Espagne
Henri Salle
François Caire
Publication date
01-08-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3215-z

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