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.
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References
Antonaci F, Sjaastad O (2014) Hemicrania continua: towards a new classification? J Headache Pain 15:18
Cittadini E, Goadsby PJ (2009) Hemicrania continua and unilateral chronic migraine indomethacin negative: a clinical comparison study. Cephalalgia 29(Suppl 1):108–109
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
Goadsby PJ (2014) Hemicrania continua – building on experience and clinical science. J Headache Pain 15:9
Headache Classification Committee of the International Headache Society (2013) The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 33:629–808
Hollingworth M, Young TM (2014) Melatonin responsive hemicrania continua in which indomethacin was associated with contralateral headache. Headache 54(5):916–919
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
Prakash S, Shah ND, Soni RK (2009) Secondary hemicrania continua: case reports and a literature review. J Neurol Sci 280:29–34
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
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
Seidel S, Wöber C (2012) Are the ICHD-II criteria for hemicrania continua too restrictive? Headache 52:827
Sjaastad O, Bakketeig LS (2007) The rare, unilateral headaches. VAGA study of headache epidemiology. J Headache Pain 8:19–27
Sjaastad O, Spierings EL (1984) Hemicrania continua: another headache absolutely responsive to indomethacin. Cephalalgia 4:65–70
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
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
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
May A (2013) Diagnosis and clinical features of trigemino-autonomic headaches. Headache 53:1470–1478
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
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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
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DOI: https://doi.org/10.1007/978-3-319-06886-2_24
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