Abstract
We describe the case of a patient with symptomatic strictly unilateral paroxysmal headache mimicking cluster headache related to an ipsilateral forehead lipoma. Interestingly, immediately after the surgical excision of the lipoma pain attacks disappeared with no recurrence during a follow-up period of 18 months. Like other descriptions of cluster-like headaches secondary to extracranial lesions, this case report focuses on the hypothetical role of a peripheral trigger factor for trigeminal autonomic cephalgias (TACs). To our knowledge, this is the first well-described cluster-like headache case secondary to an extracerebral lipoma. This case offered the opportunity to discuss the possible pathophysiological mechanisms underlying probable TACs and the relationship with peripheral extracerebral activation of the trigeminal-autonomic reflex.
Similar content being viewed by others
References
Headache Classification Subcommittee of the International Headache Society (2004) The International Classification of Headache Disorders. Cephalalgia 24[Suppl 1]:9–160
Mani S, Deeter J (1982) Arteriovenous malformation of the brain presenting as a cluster headache-a case report. Headache 2:184–185
Greve E, Mai J (1988) Cluster headache-like headaches: a symptomatic feature? A report of three patients with intracranical pathologic findings. Cephalalgia 8:78–82
Hindfelt B, Olivecrona H (1991) Cerebral arteriovenous malformation and cluster-like headache. Headache 31:514–517
Koenigsberg AD, Solomon GD, Kosmorsky DO (1994) Pseudoaneurysm within the cavernous sinus presenting as cluster headache. Headache 34:111–113
Seijo Martinez M, Castro del Rio M, Cervigon E et al (2000) Symptomatic cluster headache: presentation of 2 cases. Neurologia 15:406–410
Frigerio S, Buhler, Hess CW et al (2003) Symptomatic cluster headache in internal carotid artery dissection — consider anhidrosis. Headache 43:896–900
Milos P, Havelius U, Hindfelt B (1996) Cluster-like headache in a patient with a pituitary adenoma with a review of literature. Headache 36:184–188
Porta-Etessam J, Ramos-Carrasco A, Berbel-Garcia A et al (2001) Cluster-like headache as first manifestation of a prolactinoma. Headache 41:723–725
Levy M, Matharu MS, Meeran K et al (2005) The clinical characteristics of headache in patients with pituitary tumors. Brain 128:1921–1930
Hannerz J (1989) A case of parasellar meningioma mimicking cluster headache. Cephalalgia 9:265–269
Levyman C, Dagua Filho AS, Volpato MM et al (1991) Epidermoid tumor of the posterior fossa causing multiple fatal pain: a case report. Cephalalgia 11:33–36
Masson C, Lehericy S, Guillaume B et al (1995) Cluster-like headache in a patient with a trigeminal neurinoma. Headache 35:48–49
Bigal ME, Rapoport AM, Camel M (2003) Cluster headache as a manifestation of intracranial inflammatory myofibroblastic tumor: a case report with pathophysiological considerations. Cephalalgia 23:124–128
Duman O, Goksu E, Akyuz M et al (2004) Brain stem lipoma presenting as paroxysmal headache with autonomic features. Headache 44:105
Then Bergh F, Dose T, Forderreuther S et al (2000) Symptomatic cluster headache. Expression of multiple sclerosis relapse with magnetic resonance tomography detection of pontomedullary lesion in the ipsilateral trigeminal nucleus area. Nervenarzt 71:1000–1002
Davey R, Al-Din A (2004) Secondary trigeminal autonomic cephalgia associated with multiple sclerosis. Cephalalgia 24:605–607
Formisano R, Angelini A, De Vuono G et al (1990) Cluster-like headache and head injury: a case report. Ital J Neurol Sci 11:303–305
Heidegger S, Mattfeldt T Reiber A et al (1997) Orbito-sphenoidal aspergillus infection mimicking cluster headache: a case report. Cephalalgia 17:676–679
Massey JM (1989) Vascular headache from extracranial venous malformation. Headache 29:588–589
D’Alessio C, Ambrosini A, Colonnese C et al (2004) Indomethacinresponsive hemicrania associated with an extracranial vascular malformation: report of two cases. Cephalalgia 24:997–1000
de la Sayette V, Leproux F, Letellier P (1999) Cervical cord and dorsal medullary infarction presenting with retro-orbital pain. Neurology 53:632–634
Cid C, Berciano J, Pascual J (2000) Retro-ocular headache with autonomic features resembling “continuous” cluster headache in a lateral medullary infarction. J Neurol Neurosurg Psychiatry 69:134–141
Kuritzky A (1984) Cluster headache-like pain caused by an upper cervical meningioma. Cephalalgia 4:185–186
Appelbaum J, Noronha A (1989) Pericarotid cluster headache. J Neurol 236:430–431
Romoli M, Cudia G (1988) Cluster headache due to an impacted superior wisdom tooth: case report. Headache 28:135–136
Soros P, Frese A, Husstedt IW et al (2001) Cluster headache after dental extraction: implications for the pathogenesis of cluster headache? Cephalalgia 21:619–622
Molins A, Lopez M, Codina A et al (1989) Symptomatic cluster headache? A propos of 4 case reports. Medicina Clinica 92:181–183
Piovesan EJ, Lange MC, Erneck LC (2001) Cluster-like headache. A case secondary to the subclavian steal phenomenon. Cephalalgia 21:850–851
Seijo-Martinez M, Castro del Rio M, Conde C et al (2004) Clusterlike headache: association with cervical syringomyelia and Arnold-Chiari malformation. Cephalalgia 24:140–142
Tach JR (1981) Lipoma-induced headache. Headache 21:186
Ban M, Kitajima Y (2002) Intramuscular lipoma within the temporal muscle. Dermatol Surg 41:689–690
Yilmaz N, Unal O, Kiymaz N et al (2006) Intracranial lipomas-a clinical study. Clin Neurol Neurosurg 108:363–368
Jacome DE (1998) Masturbatory-orgasmic extracephalic pain. Headache 38:138–141
Goadsby PJ, Edvinsson L (1994) Peripheral and central trigeminovascular activation in cat is blocked by the serotonin (5-HT)-1D receptor agonist 311C90. Headache 34:394–399
Drummond PD, Lance JW (1992) Pathological sweating and flushing accompanying the trigeminal lacrimal reflex in patients with cluster headache and in patients with a confirmed site of cervical sympathetic deficit. Brain 115:1429–1445
Drummond PD (1997) Photophobia and autonomic responses to facial pain in migraine. Brain 120:1857–1864
Matharu MS, Goadsby PJ (2002) Persistence of attacks of cluster headache after trigeminal nerve root section. Brain 125:976–984
Piovesan EJ, Young BW, Werneck LC et al (2003) Recurrent extra-trigeminal stabbing and burning sensation with allodynia in a migraine patient. Cephalalgia 23:231–234
Barbanti P, Fabbrini G, Pesare M et al (2002) Unilateral cranial autonomic symptoms in migraine. Cephalalgia 22:256–259
Leone M, Franzini A, Broggi G et al (2005) Therapeutic stimulation of the hypothalamus: pathophysiological insights and prerequisites for management. Brain 128:E35
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cologno, D., Buzzi, M.G., Cicinelli, P. et al. Symptomatic cluster-like headache triggered by forehead lipoma: a case report and review of the literature. Neurol Sci 29, 331–335 (2008). https://doi.org/10.1007/s10072-008-0990-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-008-0990-6