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Prolactinomas, dopamine agonists and headache: two case reports
Author(s) -
Levy M. J.,
Matharu M. S.,
Goadsby P. J.
Publication year - 2003
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1046/j.1468-1331.2003.00549.x
Subject(s) - medicine , exacerbation , prolactinoma , pituitary apoplexy , pathophysiology , dopamine , dopamine agonist , bromocriptine , pediatrics , anesthesia , pituitary adenoma , prolactin , adenoma , dopaminergic , hormone
Headache is a common problem in patients with pituitary tumours. Small pituitary lesions can cause debilitating headache, suggesting that the size of the pituitary tumour may not be the only causal factor in pituitary‐related headache. We present two cases of prolactinoma‐associated headache. The first case has a clinical diagnosis of short‐lasting unilateral headache attacks with conjunctival injection and tearing (SUNCT). The second case has a clinical diagnosis of hemicrania continua and idiopathic stabbing headache. In each case, the administration of dopamine agonists has led to an exacerbation of symptoms. We review the relevant literature to understand the pathophysiological implications of these cases.