Giant Virchow- Robin Spaces May Play a Role at Headache Attributed to Hypoxia and/or Hypercapnia
Ali Akyol1, Yelda Özsunar2, Saliha Yeter Amasyalı3, Zehra Arıkan1, Ayça Özkul1
1Adnan Menderes University School of Medicine, Department of Neurology, Aydin, Turkey
2Adnan Menderes University School of Medicine, Department of Radiology, Aydin, Turkey
3Adnan Menderes University School of Medicine, Department of Physical Medicine and Rehabilitation, Division of Algology, Aydin, Turkey.
Keywords: Virchow-Robin spaces, Airplane travel associated headache, High altitude headache
Abstract
According to International Classification of Headache Disorders (ICHD-III Beta version) headache attributed to hypoxia and/or hypercapnia is classified under the 4 title: 10.1.1 High altitude headache, 10.1.2 Airplane travel associated headache, 10.1.3 Diving headache and 10.1.4 Sleep apnoea headache. Headache associated with airplane travel is encountered infrequently in our clinical practice and firstly reported in 2004 as a case in the literature. The pathophysiology of headache associated with airplane travel is not yet clear. We presented this case in the aspect of the patient having both airplane travel and high altitude headaches and seen giant Virchow-Robin spaces in cranial MRI and disappearence of pain with a preventive treatment.