Cluster headache and parietal glioblastoma multiforme.
(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:
https://lup.lub.lu.se/record/2859000
- author
- Edvardsson, Bengt LU and Persson, Staffan LU
- organization
- publishing date
- 2012
- 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
- pmid:22735247
- 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
- 2016-04-01 14:05:03
- date last changed
- 2022-01-27 22:44:37
@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}}, doi = {{10.1097/NRL.0b013e31825cf181}}, volume = {{18}}, year = {{2012}}, }