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Clusterlike Headache as First Manifestation of a Prolactinoma
Author(s) -
PortaEtessam Jesús,
RamosCarrasco Araceli,
BerbelGarcía Ángel,
MartínezSalio Antonio,
BenitoLeón Julian
Publication year - 2001
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.1526-4610.2001.041007723.x
Subject(s) - cluster headache , cabergoline , medicine , asymptomatic , pituitary apoplexy , magnetic resonance imaging , prolactinoma , lesion , cluster (spacecraft) , migraine , radiology , pediatrics , surgery , anesthesia , pituitary adenoma , adenoma , prolactin , computer science , programming language , hormone
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.