alexa Clusterlike headache in a patient with a pituitary adenoma. With a review of the literature.


Journal of Neurological Disorders

Author(s): Milos P, Havelius U, Hindfelt B

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Abstract A man had left-sided atypical clusterlike headache for 9 years before he developed symptoms and signs consistent with acromegaly. Preoperative evaluation revealed raised levels of somatomedin C and growth hormone. An MR indicated a left-sided intrasellar mass measuring 8 x 7.5 x 10 mm. He underwent surgery and microscopy confirmed the diagnosis of a benign hypophyseal adenoma. Postoperatively, the acromegalic features regressed, and for the last 4 years the patient has been completely free from headache attacks. On pharmacological testing of the pupillary response to 1\% and 5\% phenylephrine and 2\% tyramine solutions, there was no convincing evidence of persistent sympathetic dysfunction on the earlier symptomatic side.
This article was published in Headache and referenced in Journal of Neurological Disorders

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