Posted by dougW (208.181.136.88) on September 07, 2001 at 11:35:09:
....an mri. The following article abstract (sorry, fulll article not yet available) demonstrates a patient with "cluster - like symptoms, that were actually caused by a pituitary tumor.
If you haven't had one, get one.(the mri, not the tumor!),
From the Journal Headache: The Journal of Head and Face Pain 41 (7), 723-725
© American Headache Society
Clusterlike Headache as First Manifestation of a Prolactinoma
Jesús Porta-Etessam, MD, Araceli Ramos-Carrasco, MD, Ángel Berbel-García, MD, Antonio Martínez-Salio, MD and Julian Benito-León, MD, PhD
From the Departments of Neurology, Hospital Universitario 12 de Octubre Endocrinology, Hospital Universitario 12 de Octubre Neurology Department, Hospital de Móstoles, Madrid, Spain.
We report a case of cluster headache in a patient with a macroprolactinoma. Symptomatic cluster headache was suspected because of an unsatisfactory response to medications that are usually effective in idiopathic cluster headache. The neurological examination was normal. However, magnetic resonance imaging demonstrated a large pituitary tumor. One year after starting treatment with cabergoline, the patient remains asymptomatic. Symptomatic cluster headache should be suspected when the clinical features of the headache are atypical. By inducing vascular mechanisms, the parasellar lesion may have played a role in initiating the cluster headache.
Key words: cluster headache, pituitary adenoma, macroprolactinoma
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