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Micturition-triggered severe headache associated with bladder paraganglioma: A case report
1Department of Encephalopathy, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, China.
Cephalalgia : an International Journal of Headache
|August 19, 2021
Summary
A rare bladder tumor called paraganglioma can cause severe headaches after urination. Surgical removal of the paraganglioma completely resolved the patient's headache symptoms.
Area of Science:
- Neuroendocrinology
- Urology
Background:
- Paragangliomas are rare neuroendocrine tumors, with bladder occurrences being exceptionally uncommon.
- Functioning paragangliomas can manifest with non-specific symptoms like hypertension and headache, posing diagnostic challenges.
Observation:
- A case study details a middle-aged woman experiencing severe headaches triggered by micturition (urination).
- Headache onset was consistently post-micturition, radiating from the nose to the forehead and posterior scalp, lasting 5-10 minutes.
Findings:
- The patient's severe headache disorder was directly linked to a bladder paraganglioma.
- Complete resolution of headaches occurred after the surgical removal of the tumor.
Implications:
- This case highlights a potential association between micturition-induced headaches and bladder paragangliomas.
- Clinicians should consider bladder paraganglioma in the differential diagnosis for patients presenting with post-micturition headaches.
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