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Cluster headache and parietal glioblastoma multiforme.

Edvardsson, Bengt LU and Persson, Staffan LU (2012) In The Neurologist 18(4). p.206-207
Abstract
INTRODUCTION:

Cluster headache (CH) is a primary headache by definition not caused by any known underlying structural pathology. However, symptomatic cases have been described. The evaluation of CH is an issue unresolved.



CASE REPORT:

A 41-year-old man presented with a 3-month history of side-locked attacks of excruciating severe stabbing and boring right-sided pain located in the temple and the orbit. The attacks were associated with conjunctival injection and restlessness and migrainous features. The duration of attacks was about 30 minutes and the frequency 4 to 5 per 24 hours. His vital signs and physical and neurological examination were normal. A previous unenhanced brain computed tomography had... (More)
INTRODUCTION:

Cluster headache (CH) is a primary headache by definition not caused by any known underlying structural pathology. However, symptomatic cases have been described. The evaluation of CH is an issue unresolved.



CASE REPORT:

A 41-year-old man presented with a 3-month history of side-locked attacks of excruciating severe stabbing and boring right-sided pain located in the temple and the orbit. The attacks were associated with conjunctival injection and restlessness and migrainous features. The duration of attacks was about 30 minutes and the frequency 4 to 5 per 24 hours. His vital signs and physical and neurological examination were normal. A previous unenhanced brain computed tomography had been normal. A diagnosis of CH was made. The patient responded partially to treatment. Enhanced magnetic resonance imaging after 3 weeks displayed a right-sided parietal glioma with a surrounding edema and mass effect. After debulking, the headache attacks resolved completely.



CONCLUSIONS:

Contrast-enhanced magnetic resonance imaging should always be considered in patients with CH despite earlier normal head computed tomography/examinations. Late-onset CH represents a condition that requires careful evaluation. Parietal glioblastoma multiforme can present as CH. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Neurologist
volume
18
issue
4
pages
206 - 207
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000305899000008
  • pmid:22735247
  • scopus:84863573244
ISSN
1074-7931
DOI
10.1097/NRL.0b013e31825cf181
language
English
LU publication?
yes
id
cdd618e8-bee5-49cb-97bb-33aa10626c68 (old id 2859000)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22735247?dopt=Abstract
date added to LUP
2012-07-04 19:58:19
date last changed
2017-01-01 06:02:42
@article{cdd618e8-bee5-49cb-97bb-33aa10626c68,
  abstract     = {INTRODUCTION:<br/><br>
Cluster headache (CH) is a primary headache by definition not caused by any known underlying structural pathology. However, symptomatic cases have been described. The evaluation of CH is an issue unresolved.<br/><br>
<br/><br>
CASE REPORT:<br/><br>
A 41-year-old man presented with a 3-month history of side-locked attacks of excruciating severe stabbing and boring right-sided pain located in the temple and the orbit. The attacks were associated with conjunctival injection and restlessness and migrainous features. The duration of attacks was about 30 minutes and the frequency 4 to 5 per 24 hours. His vital signs and physical and neurological examination were normal. A previous unenhanced brain computed tomography had been normal. A diagnosis of CH was made. The patient responded partially to treatment. Enhanced magnetic resonance imaging after 3 weeks displayed a right-sided parietal glioma with a surrounding edema and mass effect. After debulking, the headache attacks resolved completely.<br/><br>
<br/><br>
CONCLUSIONS:<br/><br>
Contrast-enhanced magnetic resonance imaging should always be considered in patients with CH despite earlier normal head computed tomography/examinations. Late-onset CH represents a condition that requires careful evaluation. Parietal glioblastoma multiforme can present as CH.},
  author       = {Edvardsson, Bengt and Persson, Staffan},
  issn         = {1074-7931},
  language     = {eng},
  number       = {4},
  pages        = {206--207},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {The Neurologist},
  title        = {Cluster headache and parietal glioblastoma multiforme.},
  url          = {http://dx.doi.org/10.1097/NRL.0b013e31825cf181},
  volume       = {18},
  year         = {2012},
}