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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Typical cluster headache caused by granulomatous pituitary involvement
I Favier1, J Haan, S G van Duinen
1Department of Neurology, Leiden University Medical Centre, Leiden, the Netherlands. i.favier@lumc.nl
Cephalalgia : an International Journal of Headache
|January 30, 2007
Summary
Cluster headache attacks in a young woman resolved after pituitary tumor removal. This rare case highlights the need for brain imaging to rule out structural causes of cluster headaches.
Area of Science:
- Neurology
- Neuro-oncology
- Endocrinology
Background:
- Cluster headache is a primary headache disorder characterized by severe unilateral head pain.
- Pituitary mass lesions can cause various neurological and endocrine symptoms.
Observation:
- A young woman presented with typical cluster headache attacks.
- Simultaneously, a pituitary mass lesion was identified in the same patient.
Findings:
- Surgical resection of the pituitary mass, diagnosed as granulomatous inflammation, led to the complete resolution of cluster headache attacks.
- This represents a previously undescribed association between cluster headache and pituitary granulomatous inflammation.
Implications:
- This case suggests a potential link between pituitary inflammation and cluster headaches.
- It underscores the importance of neuroimaging in evaluating even typical cluster headache presentations to exclude underlying structural abnormalities.
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