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Symptomatic chronic paroxysmal hemicrania.

¹Sacramento Headache and Neurology Clinic, CA 95816.

Cephalalgia : an International Journal of Headache

|April 1, 1992

Summary

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A rare gangliocytoma in the sella turcica caused chronic paroxysmal hemicrania (CPH). Surgical removal and radiation therapy significantly reduced the patient's headache symptoms.

Area of Science:

Neurology
Neuro-oncology
Pain Medicine

Background:

Chronic paroxysmal hemicrania (CPH) is a rare primary headache disorder.
Sella turcica tumors are uncommon and can present with diverse neurological symptoms.

Observation:

A patient presented with CPH linked to a gangliocytoma originating within the sella turcica.
The tumor caused displacement of the third ventricle floor and encased the ipsilateral internal carotid artery.

Findings:

Partial tumor resection followed by radiation therapy led to significant headache amelioration.
This case suggests a potential link between sella turcica gangliocytomas and CPH pathogenesis.

Implications:

Highlights the importance of neuroimaging in diagnosing refractory headache disorders.

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Suggests a possible mechanism for CPH involving structural compression in the sellar region.

Informs potential treatment strategies for headache associated with sellar region tumors.