Cluster tic syndrome [Neurosurgery Wiki]

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=====Cluster tic syndrome=====
The term "cluster-tic syndrome" is used for the rare ipsilateral co-occurrence of attacks of cluster headache and [[trigeminal neuralgia]]. Medical treatment should combine treatment for cluster headache and trigeminal neuralgia, but is very often unsatisfactory.

A 41-year-old woman diagnosed with cluster-tic syndrome who underwent microvascular decompression of the trigeminal nerve, primarily aimed at the "trigeminal neuralgia" part of her pain syndrome. After venous decompression of the trigeminal nerve both a decrease in trigeminal neuralgia and cluster headache attacks was seen. However, the headache did not disappear completely. Furthermore, she reported a decrease in pain intensity of the remaining cluster headache attacks.

This case description suggests that venous vascular decompression in cluster-tic syndrome can be remarkably effective, both for trigeminal neuralgia and cluster headache
((de Coo I, van Dijk JM, Metzemaekers JD, Haan J. A Case Report About
Cluster-Tic Syndrome Due to Venous Compression of the Trigeminal Nerve. Headache.
2016 Dec 7. doi: 10.1111/head.12990. [Epub ahead of print] PubMed PMID: 27925184.
)).