一名患有大泌乳素瘤的患者出现慢性阵发性偏侧头痛。

Chronic paroxysmal hemicrania in a patient with a macroprolactinoma.

作者信息

Sarov M, Valade D, Jublanc C, Ducros A

机构信息

Emergency Headache Centre, Lariboisière Hospital, Paris, France.

出版信息

Cephalalgia. 2006 Jun;26(6):738-41. doi: 10.1111/j.1468-2982.2006.01101.x.

DOI:10.1111/j.1468-2982.2006.01101.x

PMID:16686914

Abstract

We report a patient with headaches meeting the criteria of chronic paroxysmal hemicrania, as defined by the International Headache Society classification. Headaches were fully responsive to indomethacin during the first 3 months of treatment but recurred when daily doses were lowered. Investigations revealed a macroprolactinoma. Headaches stopped after cabergoline treatment. This report further suggests that patients with paroxysmal hemicrania should be investigated for pituitary abnormalities.

摘要

我们报告了一名符合国际头痛协会分类所定义的慢性阵发性偏侧头痛标准的头痛患者。在治疗的前3个月，头痛对吲哚美辛完全有效，但当每日剂量降低时复发。检查发现有大泌乳素瘤。卡麦角林治疗后头痛停止。本报告进一步提示，阵发性偏侧头痛患者应检查是否存在垂体异常。