Dorsolateral medullary ischemic infarction causing autonomic dysfunction and headache: a case report

J Headache Pain. 2012 Jun;13(4):327-30. doi: 10.1007/s10194-012-0427-8. Epub 2012 Feb 29.


Stroke can present, among other signs, with headache. Here, we describe the case of a man suffering from severe orbitary pain and autonomic dysfunction secondary to dorsolateral medullary ischemia. The anatomical relationship between lesion and symptomatology could be an indirect sign of hypothalamospinal tract involvement in the genesis of autonomic dysfunction and headache resembling a trigeminal autonomic cephalalgia.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Autonomic Nervous System Diseases / drug therapy
  • Autonomic Nervous System Diseases / etiology*
  • Brain Infarction / etiology*
  • Brain Infarction / pathology
  • Brain Ischemia / complications*
  • Brain Ischemia / pathology
  • Follow-Up Studies
  • Headache / drug therapy
  • Headache / etiology*
  • Humans
  • Male
  • Medulla Oblongata / pathology*


  • Anti-Inflammatory Agents, Non-Steroidal