Skip to main content

Headache Resembling Hemicrania Continua Caused by Pituitary Adenoma

  • Chapter
  • First Online:

Part of the book series: Headache ((HEAD))

Abstract

This is the complex history of a patient with pre-existing migraine with aura who developed first daily headaches resembling tension-type headache and later a continuous, strictly unilateral side-locked headache with exacerbations and ipsilateral cranial autonomic symptoms. This headache resembling hemicrania continua lead to the detection of a pituitary macroadenoma. Successful treatment of the tumor has paralleled with the resolution of the hemicrania continua like headache, thus suggesting a causal relation.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Antonaci F, Sjaastad O (2014) Hemicrania continua: towards a new classification? J Headache Pain 15:18

    Article  Google Scholar 

  2. Cittadini E, Goadsby PJ (2009) Hemicrania continua and unilateral chronic migraine indomethacin negative: a clinical comparison study. Cephalalgia 29(Suppl 1):108–109

    Google Scholar 

  3. Evers S, Goadsby P, Jensen R et al (2011) Treatment of miscellaneous idiopathic headache disorders (Group 4 of the HIS classification)–report of an EFNS task force. Eur J Neurol 18:803–812

    Article  CAS  PubMed  Google Scholar 

  4. Goadsby PJ (2014) Hemicrania continua – building on experience and clinical science. J Headache Pain 15:9

    Article  Google Scholar 

  5. Headache Classification Committee of the International Headache Society (2013) The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 33:629–808

    Article  Google Scholar 

  6. Hollingworth M, Young TM (2014) Melatonin responsive hemicrania continua in which indomethacin was associated with contralateral headache. Headache 54(5):916–919

    Article  PubMed  Google Scholar 

  7. Prakash S, Golwala P (2012) A proposal for revision of hemicrania continua diagnostic criteria based on critical analysis of 62 patients. Cephalalgia 32:860–868

    Article  PubMed  Google Scholar 

  8. Prakash S, Shah ND, Soni RK (2009) Secondary hemicrania continua: case reports and a literature review. J Neurol Sci 280:29–34

    Article  PubMed  Google Scholar 

  9. Ramón C, Mauri G, Vega J, Rico M, Para M, Pascual J (2013) Diagnostic distribution of 100 unilateral, side-locked headaches consulting a specialized clinic. Eur Neurol 69:289–291

    Article  PubMed  Google Scholar 

  10. Seidel S, Lieba-Samal D, Vigl M, Wöber C (2011) Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin. Wien Klin Wochenschr 123:536–541

    Article  CAS  PubMed  Google Scholar 

  11. Seidel S, Wöber C (2012) Are the ICHD-II criteria for hemicrania continua too restrictive? Headache 52:827

    Article  PubMed  Google Scholar 

  12. Sjaastad O, Bakketeig LS (2007) The rare, unilateral headaches. VAGA study of headache epidemiology. J Headache Pain 8:19–27

    Article  PubMed Central  PubMed  Google Scholar 

  13. Sjaastad O, Spierings EL (1984) Hemicrania continua: another headache absolutely responsive to indomethacin. Cephalalgia 4:65–70

    Article  CAS  PubMed  Google Scholar 

  14. Viana M, Tassorelli C, Allena M et al (2013) Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review. J Headache Pain 14:14

    Article  PubMed Central  PubMed  Google Scholar 

  15. Wilbrink LA, Ferrari MD, Kruit MC, Haan J (2009) Neuroimaging in trigeminal autonomic cephalgias: when, how, and of what? Curr Opin Neurol 22:247–253

    Article  PubMed  Google Scholar 

Further Reading

  • Jürgens TP, Schulte LH, May A (2013) Indomethacin-induced de novo headache in hemicrania continua–fighting fire with fire? Cephalalgia 33:1203–1205

    Article  PubMed  Google Scholar 

  • May A (2013) Diagnosis and clinical features of trigemino-autonomic headaches. Headache 53:1470–1478

    PubMed  Google Scholar 

  • Pareja JA, Cuadrado ML, Fernández-de-las-Peñas C et al (2012) Primary continuous unilateral headaches: a nosologic model for hemicrania continua. Cephalalgia 32:413–418

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christian Wöber MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Wöber, C. (2015). Headache Resembling Hemicrania Continua Caused by Pituitary Adenoma. In: Siva, A., Lampl, C. (eds) Case-Based Diagnosis and Management of Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-319-06886-2_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-06886-2_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06885-5

  • Online ISBN: 978-3-319-06886-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics