Ayça ÖZKUL, Zehra ARIKAN, Ali AKYOL, Saliha Yeter AMASYALI, Yelda ÖZSUNAR

Dev Virchow-Robin aralıkları hipoksi ve/veya hiperkapniye bağlı baş ağrısında rol oynayabilir

IHS 2013-beta versiyonunda hipoksi veya hiperkapniye bağlı baş ağrıları 10.1.1 yüksek irtifa baş ağrısı, 10.1.2 uçak seyahatine bağlı baş ağrısı, 10.1.3 dalma baş ağrısı, 10.1.4 uyku apnesi baş ağrısı şeklinde alt gruplara ayrılmaktadır. Uçak seyahati esnasında ortaya çıkan baş ağrıları sık karşılaşmadığımız baş ağrılarındandır. Literatürde ilk vaka 2004 yılında bildirilmiştir. Uçak seyahatine bağlı baş ağrısı patofizyolojisi henüz tam anlaşılamamıştır. Uçak seyahati ve yükseklik baş ağrılarının birlikte aynı olguda görülmesi, kranial MR’ da geniş Virchow-Robin aralıklarının izlenmesi, önleyici atak tedavisi ile bu baş ağrılarının gelmemesi yönüyle hastamızı sunmayı uygun bulduk.

Giant Virchow- Robin spaces may play a role at headache attributed to hypoxia and/or hypercapnia

According to the International Classification of Headache Disorders-3 beta version, headache attributed to hypoxia and/orhypercapnia is classified under the four titles: 10.1.1 High altitude headache, 10.1.2 Airplane travel associated headache, 10.1.3Diving headache, and 10.1.4 Sleep apnea headache. Headache associated with airplane travel is encountered infrequently inour clinical practice and first reported in 2004 as a case in the literature. The pathophysiology of headache associated withairplane travel is not yet clear. We presented this case in the aspect of the patient having both airplane travel and high-altitudeheadaches and seen giant Virchow-Robin spaces in cranial MRI and disappearance of pain with a preventive treatment.

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