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Yokoya S, Hino A, Oka H. Chronic headache caused by a titanium fixation plate: Report of two cases. Surg Neurol Int. 2017;8:238doi: 10.4103/sni.sni_152_17.
Yokoya, S., Hino, A., & Oka, H. (2017). Chronic headache caused by a titanium fixation plate: Report of two cases. Surgical neurology international, 8238. https://doi.org/10.4103/sni.sni_152_17
Yokoya, Shigeomi, et al. "Chronic headache caused by a titanium fixation plate: Report of two cases." Surgical neurology international vol. 8 (2017): 238. doi: https://doi.org/10.4103/sni.sni_152_17
Yokoya S, Hino A, Oka H. Chronic headache caused by a titanium fixation plate: Report of two cases. Surg Neurol Int. 2017 Sep 26;8:238. doi: 10.4103/sni.sni_152_17. eCollection 2017. PMID: 29026674; PMCID: PMC5629844.
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Surg Neurol Int. 2017 Sep 26;8:238. doi: 10.4103/sni.sni_152_17. eCollection 2017.

Chronic headache caused by a titanium fixation plate: Report of two cases.

Surgical neurology international

Shigeomi Yokoya, Akihiko Hino, Hideki Oka

Affiliations

  1. Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.

PMID: 29026674 PMCID: PMC5629844 DOI: 10.4103/sni.sni_152_17

Abstract

BACKGROUND: We report two patients with chronic postcraniotomy headache who showed rapid alleviation of pain after removal of titanium miniplates.

CASE DESCRIPTION: (Case 1) A 26-year-old woman underwent a right frontal craniotomy and excision of the entire cerebral cavernous malformation. Eleven years later, she developed headache. The titanium plate was removed and the patient presented complete amelioration of headache. (Case 2) A 50-year-old man underwent an aneurysm clipping via the lateral supraorbital approach of the left side. One year later, he complained about throbbing pain. Removing the titanium plate led to complete relief of the headache.

CONCLUSION: Titanium miniplate fixation may irritate the deep division of the supraorbital nerve and may cause a chronic headache. Here, we propound the idea that, postcraniotomy, titanium miniplates should not be placed above the temporal fusion line.

Keywords: Postcraniotomy headache; supraorbital nerve; temporal fusion line; titanium miniplates

Conflict of interest statement

There are no conflicts of interest.

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