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Headache Caused by a Sphenoid Mucocele but Presenting as an Ergotamine‐Induced Headache
Author(s) -
Bauer Birgit,
Evers Stefan,
Lindörfer Hans W.,
Schuierer Gerhard,
Henningsen Henning,
Husstedt IngoW.
Publication year - 1997
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.1997.3707460.x
Subject(s) - mucocele , ergotamine , medicine , migraine , anesthesia , headaches , sinus (botany) , surgery , dermatology , botany , biology , genus
In a 65‐year‐old woman, symptomatic headache caused by a mucocele of the sphenoid sinus led to ergotamine abuse and subsequent ergotamine‐induced headache. Since there were no neurological symptoms initially and the patient previously suffered from migraine, the mucocele was not recognized. Only after unsuccessful drug withdrawal therapy and an MRI, was the correct diagnosis made. Surgical removal of the mucocele led to complete relief of headache within 3 weeks. We conclude that ergotamine‐induced headache can develop on the basis of symptomatic headache. In spite of the effectiveness of ergotamine tartrate, an MRI should be performed if focal neurological symptoms occur.