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Cervicogenic-Like Headache as the First Symptom of Acromegaly
Adroaldo Rossetti1, Carolina Orge2, Vitor Melo3
1Neurological Surgery, Federal University of Bahia, Salvador, BRA.
Cureus
|June 19, 2024
Summary
Acromegaly can manifest as cervicogenic-like headaches, a rare presentation. Surgical removal of a pituitary tumor resolved the patient's chronic headaches, highlighting this connection.
Area of Science:
- Endocrinology
- Neurology
- Neurosurgery
Background:
- Acromegaly, a disorder caused by excess growth hormone, frequently presents with headaches.
- Cervicogenic headaches originate from the neck and are distinct from typical acromegaly-related headaches.
Observation:
- An 18-year-old male experienced four years of unilateral headaches, described as nuchal tightness radiating to the forehead.
- Cervicogenic-like headache characteristics were noted, with no prior description in acromegaly literature.
Findings:
- Brain MRI revealed a pituitary macroadenoma.
- Transsphenoidal surgical resection of the tumor led to complete headache relief within one week.
- Headache relief persisted for at least six months post-surgery.
Implications:
- This case suggests cervicogenic-like headache can be an initial symptom of acromegaly.
- Surgical treatment of pituitary tumors may effectively resolve associated cervicogenic-like headaches.
- Highlights the importance of considering acromegaly in patients with unusual headache patterns.
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