Cluster-like headache: literature review

Giraud, P; Jouanneau, Emmanuel; Borson‐Chazot, Françoise; Lantéri-Minet, Michel; Carrault, Guy

doi:10.1007/s101940200021

Cited by 18 publications

(18 citation statements)

References 34 publications

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“…Several authors report CLH related to facial and cavernous sinus diseases [11]. The mechanisms underlying these symptoms are the object of discussion.…”

Section: Discussionmentioning

confidence: 99%

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A case of a GH–producing pituitary adenoma associated with a unilateral headache with autonomic signs

et al. 2005

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IntroductionTen to fifteen percent of all diagnosed cerebral tumours are pituitary adenomas (60%-70% are secreting adenomas) that frequently occur during the 3rd or 4th decades of life. Half of them are diagnosed early by clinical hormonal symptoms even when the dimensions of the adenomas are small (5 mm) and the tumours are undetected on magnetic resonance imaging (MRI) scans. Among these, however, growth hormone (GH)-producing macroadenomas are uncommon, and often have blood hormonal levels so low that their diagnosis could be delayed [1,2]. In 10% of the adult population, MRI scans can detect silent pituitary adenomas [3].Thirty-three to seventy-two percent of pituitary adenomas, independently of their dimensions, induce headache [4,5]. Headache is the first symptom in about 11% of women and in about 15% of men [6]. Some studies have suggested that the incidence of headache was 57.1% in non-functioning adenomas [7] and 60% in GH-secreting adenomas [8]. Headache seems to be more frequent in prolactin (PRL)-secreting adenomas (57.1%) than in GHsecreting adenomas (12.5%) [9]. Headache, more frequently localised to the frontal region, is bilateral (89.5%) or monolateral (84.2%) and sometimes diffuse (42.1%).Pain is continuous or pressing-heavy, and rarely pulsating-intermittent (mostly in female patients) (57.9%) [9]. Headaches due to GH-secreting adenomas, with or without acromegaly, do not have significant sellar abnormalities or visual problems [5,8]. another MRI scan of the sellar region confirmed the presence of a pituitary macroadenoma on the left paramedian side. After an initial improvement of the symptomatology due to trans-sphenoidal ablation of a benign GH-producing macroadenoma, the headache worsened again. Pain was well correlated with the increased plasma levels of IGF-1. The patient died suddenly for myocardial infarct.

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“…Several authors report CLH related to facial and cavernous sinus diseases [11]. The mechanisms underlying these symptoms are the object of discussion.…”

Section: Discussionmentioning

confidence: 99%

“…It is reasonable to hypothesise a GH-producing pituitary adenoma associated with monolateral headache and autonomic signs, mostly involving a direct stimulation of the trigeminovascular system [11]. An additional effect could be linked to the bone and mucosal modifications induced by GH and related hormones in the sinus areas.…”

Section: Discussionmentioning

confidence: 99%

A case of a GH–producing pituitary adenoma associated with a unilateral headache with autonomic signs

et al. 2005

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“…However, in 3-5% of patients, the disease is associated with intracranial structural pathologies, such as tumours, arteriovenous malformations, aneurysms, traumatic injuries and infections [1]. Sometimes the term "cluster-like" headache is used because the characteristics of the pain do not always completely fulfil the ICHD-II diagnostic criteria [2] for episodic or chronic CH [3]. However, even in patients fulfilling all diagnostic criteria, intracranial lesions may be discovered [4].…”

Section: Introductionmentioning

confidence: 99%

Cluster headache attacks and multiple sclerosis

et al. 2007

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We report the case of a patient who developed typical cluster headache attacks and was diagnosed as having multiple sclerosis (MS) at the same time. The headache attacks resolved after i.v. treatment with methylprednisolone. MR imaging showed a pontine demyelinating lesion involving the trigeminal nerve root inlet area, on the same side as the pain. The association between cluster headache and MS has been rarely described before. This case suggests that in patients with cluster headache neuroimaging is often useful in order to exclude structural lesions.

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“…Second, the onset of CH, at the age of 55 years, is remarkably late in the life of the patient; the mean age of onset in primary episodic CH reported in the literature is 28 years and 36 for chronic CH [13]. Third, because the active phases of episodic cluster periods usually last from 1 to 2 months [13], the clinical presentation resembles a chronic form, even if not enough time elapsed to meet IHS criteria for chronic form; this form of presentation is common to secondary CH, particularly post-trauma and postsurgery [3][4][5]. Whereas, in patients with idiopathic CH, 82% have episodic, and only 10% begin with chronic form [14].…”

Section: Discussionmentioning

confidence: 99%