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Published in: The Journal of Headache and Pain 4/2008

Open Access 01-08-2008 | Brief Report

Cluster headache with Brugada electrocardiogram pattern: a case report

Authors: Yuka Matsuki, Munetaka Hirose, Akira Nakano, Katsuhiko Sarasawa, Toshio Hamada

Published in: The Journal of Headache and Pain | Issue 4/2008

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Abstract

Agents including the effect on sodium channel are restricted in patients with Brugada electrocardiogram (ECG) pattern or Brugada syndrome. On the other hand, many therapeutic agents for cluster headache (CH) block sodium channel. After recommended therapies without sodium channel blocking effect were failed in a 40-year-old male with CH whose ECG shows Brugada ECG pattern, clonazepam and codein phosphate, which are exceptional treatments for CH, were effective for severe unilateral orbital pain.
Literature
1.
go back to reference Balasubramaniam R, Klasser GD (2007) Trigeminal autonomic cephalalgias. Part 1: cluster headache. Med Oral Pathol Oral Radiol Endod 104:345–358 10.1016/j.tripleo.2007.03.010CrossRef Balasubramaniam R, Klasser GD (2007) Trigeminal autonomic cephalalgias. Part 1: cluster headache. Med Oral Pathol Oral Radiol Endod 104:345–358 10.1016/j.tripleo.2007.03.010CrossRef
2.
go back to reference Brugada R, Brugada J, Antzelevitch C, Kirsch GE, Potenza D, Towbin JA, Brugada P (2000) Sodium channel blockers identify risk for sudden death in patients with ST-segment elevation and right bundle branch block but structurally normal hearts. Circulation 101:510–515 10662748, 1:STN:280:DC%2BD3c7ivFyrsQ%3D%3DCrossRefPubMed Brugada R, Brugada J, Antzelevitch C, Kirsch GE, Potenza D, Towbin JA, Brugada P (2000) Sodium channel blockers identify risk for sudden death in patients with ST-segment elevation and right bundle branch block but structurally normal hearts. Circulation 101:510–515 10662748, 1:STN:280:DC%2BD3c7ivFyrsQ%3D%3DCrossRefPubMed
4.
go back to reference Brugada J, Brugada R, Brugada P (2003) Determinants of sudden cardiac death in individuals with the electrocardiographic pattern of Brugada syndrome and no previous cardiac arrest. Circulation 108:3092–3096 14623800, 10.1161/01.CIR.0000104568.13957.4FCrossRefPubMed Brugada J, Brugada R, Brugada P (2003) Determinants of sudden cardiac death in individuals with the electrocardiographic pattern of Brugada syndrome and no previous cardiac arrest. Circulation 108:3092–3096 14623800, 10.1161/01.CIR.0000104568.13957.4FCrossRefPubMed
5.
go back to reference Di Grande A, Tomaselli V, Massarelli L, Amico S, Bellanuova I, Barbera A (2006) Brugada-like electrocardiographic pattern: a challenge for the clinician. Eur J Intern Med 17:3–7 16378878, 10.1016/j.ejim.2005.07.010CrossRefPubMed Di Grande A, Tomaselli V, Massarelli L, Amico S, Bellanuova I, Barbera A (2006) Brugada-like electrocardiographic pattern: a challenge for the clinician. Eur J Intern Med 17:3–7 16378878, 10.1016/j.ejim.2005.07.010CrossRefPubMed
6.
go back to reference Saper JR, Silberstein SD, Gordon CD, Hamel RL, Swidan S (1999) Handbook of headache management, 2nd edn. Lippincott Williams & Wilkins, Baltimore Saper JR, Silberstein SD, Gordon CD, Hamel RL, Swidan S (1999) Handbook of headache management, 2nd edn. Lippincott Williams & Wilkins, Baltimore
7.
go back to reference Phillips N, Priestley M, Denniss R, Uther JB (2003) Brugada-type electrocardiographic pattern induced by epidural bupivacaine. Anesth Analg 97:264–267 12818979, 10.1213/01.ANE.0000067410.32384.3ACrossRefPubMed Phillips N, Priestley M, Denniss R, Uther JB (2003) Brugada-type electrocardiographic pattern induced by epidural bupivacaine. Anesth Analg 97:264–267 12818979, 10.1213/01.ANE.0000067410.32384.3ACrossRefPubMed
8.
go back to reference Vernooy K, Sicouri S, Dumaine R, Hong K, Oliva A, Burashnikov E, Timmermans C, Delhaas T, Crijns HJGM, Antzelevitch C, Rodriguez L-M, Brugada R (2006) Genetic and biophysical basis for bupivacaine-induced ST segment elevation and VT/VF. Anesthesia unmasked Brugada syndrome. Heart Rhythm 3:1074–1078 16945804, 10.1016/j.hrthm.2006.05.030PubMedCentralCrossRefPubMed Vernooy K, Sicouri S, Dumaine R, Hong K, Oliva A, Burashnikov E, Timmermans C, Delhaas T, Crijns HJGM, Antzelevitch C, Rodriguez L-M, Brugada R (2006) Genetic and biophysical basis for bupivacaine-induced ST segment elevation and VT/VF. Anesthesia unmasked Brugada syndrome. Heart Rhythm 3:1074–1078 16945804, 10.1016/j.hrthm.2006.05.030PubMedCentralCrossRefPubMed
9.
go back to reference Fujiwara Y, Shibata Y, Kurokawa S, Satou Y, Komatsu T (2006) Ventricular tachycardia in a patient with Brugada syndrome during general anesthesia combined with thoracic paravertebral block. Anesth Analg 102:1590–1591 16632856, 10.1213/01.ANE.0000215196.42122.05CrossRefPubMed Fujiwara Y, Shibata Y, Kurokawa S, Satou Y, Komatsu T (2006) Ventricular tachycardia in a patient with Brugada syndrome during general anesthesia combined with thoracic paravertebral block. Anesth Analg 102:1590–1591 16632856, 10.1213/01.ANE.0000215196.42122.05CrossRefPubMed
10.
go back to reference Fish JM, Antzelevitch C (2004) Role of sodium and calcium channel block in unmasking the Brugada syndrome. Heart Rhythm 1:210–217 15851155, 10.1016/j.hrthm.2004.03.061PubMedCentralCrossRefPubMed Fish JM, Antzelevitch C (2004) Role of sodium and calcium channel block in unmasking the Brugada syndrome. Heart Rhythm 1:210–217 15851155, 10.1016/j.hrthm.2004.03.061PubMedCentralCrossRefPubMed
11.
go back to reference Chinushi M, Tagawa M, Nakamura Y, Aizawa Y (2006) Shortening of the ventricular fibrillatory intervals after administration of verapamil in a patient with Brugada syndrome and vasospastic angina. J Electrocardiol 39:331–335 16777521, 10.1016/j.jelectrocard.2005.10.002CrossRefPubMed Chinushi M, Tagawa M, Nakamura Y, Aizawa Y (2006) Shortening of the ventricular fibrillatory intervals after administration of verapamil in a patient with Brugada syndrome and vasospastic angina. J Electrocardiol 39:331–335 16777521, 10.1016/j.jelectrocard.2005.10.002CrossRefPubMed
12.
go back to reference Caccia MR (1975) Clonazepam in facial neuralgia and cluster headache. Clinical and electrophysiological study. Eur J Neurol 13:560–563 10.1159/000114712, 1:STN:280:CSmD28nhtlE%3DCrossRef Caccia MR (1975) Clonazepam in facial neuralgia and cluster headache. Clinical and electrophysiological study. Eur J Neurol 13:560–563 10.1159/000114712, 1:STN:280:CSmD28nhtlE%3DCrossRef
13.
go back to reference Sicuteri F, Raino L, Geppetti P (1983) Substance P and endogenous opioids: how and where they could play a role in cluster headache. Cephalalgia 3(suppl 1):143–145 6193886PubMed Sicuteri F, Raino L, Geppetti P (1983) Substance P and endogenous opioids: how and where they could play a role in cluster headache. Cephalalgia 3(suppl 1):143–145 6193886PubMed
14.
go back to reference Takebayashi M, Fujikawa T, Kagaya A, Horiguchi J, Yamawaki S (1999) Lithium and clonazepam treatment of two cases with cluster headache. Psychiatry Clin Neurosci 53:535–537 10498239, 10.1046/j.1440-1819.1999.00573.x, 1:STN:280:DyaK1Mvis1GhtQ%3D%3DCrossRefPubMed Takebayashi M, Fujikawa T, Kagaya A, Horiguchi J, Yamawaki S (1999) Lithium and clonazepam treatment of two cases with cluster headache. Psychiatry Clin Neurosci 53:535–537 10498239, 10.1046/j.1440-1819.1999.00573.x, 1:STN:280:DyaK1Mvis1GhtQ%3D%3DCrossRefPubMed
15.
go back to reference Tarin N, Farre J, Rubio JM, Tunon J, Castro-Dorticos J (1999) Brugada-like electrocardiographic pattern in a patient with a mediastinal tumor. Pacing Clin Electrophysiol 22:1264–1266 10461308, 10.1111/j.1540-8159.1999.tb00613.x, 1:STN:280:DyaK1MzptVCjuw%3D%3DCrossRefPubMed Tarin N, Farre J, Rubio JM, Tunon J, Castro-Dorticos J (1999) Brugada-like electrocardiographic pattern in a patient with a mediastinal tumor. Pacing Clin Electrophysiol 22:1264–1266 10461308, 10.1111/j.1540-8159.1999.tb00613.x, 1:STN:280:DyaK1MzptVCjuw%3D%3DCrossRefPubMed
Metadata
Title
Cluster headache with Brugada electrocardiogram pattern: a case report
Authors
Yuka Matsuki
Munetaka Hirose
Akira Nakano
Katsuhiko Sarasawa
Toshio Hamada
Publication date
01-08-2008
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 4/2008
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-008-0049-3

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