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Published on: January 17, 2018
[Migraine-like headache secondary to pituitary macroadenoma]
S Santos1, O Alberti, M Claramonte
1Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza. ssantosl@yahoo.es
Introduction:
Differential diagnosis of migraine-like headache with and without aura needs to proceed with neuroimaging evaluation in order to rule out any secondary conditions. We report a patient with a 2 year history of migraine like headache with a good response to ergotics and due to pituitary macroadenoma.
Clinical Case:
A 44 year old man with no familiar history of migraine presented to our hospital because of campimetric failure and a change of his migrainous features. The patient started with migraine without aura 2 years ago and was well treated with ergotics from the beginning. Field testing showed a bitemporal hemianopsia. Magnetic resonance imaging revealed an unknown pituitary macroadenoma.
Conclusion:
Pituitary macroadenoma must be included in the differential diagnosis of migraine headache although the presence of aura or the good response to ergotics.
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