Favier I, Haan J, van Duinen S G, Ferrari M D
Department of Neurology, Leiden University Medical Centre, Leiden, the Netherlands.
Cephalalgia. 2007 Feb;27(2):173-6. doi: 10.1111/j.1468-2982.2007.01268.x.
A young woman had typical cluster headache attacks and a pituitary mass lesion. The headache attacks resolved after transsphenoidal resection of the tumour, which was diagnosed as a granulomatous inflammation. The association between cluster headache and granulomatous enlargement of the pituitary gland has never been described before. This case reinforces the growing evidence that even in typical cases of cluster headache, neuroimaging is mandatory to exclude structural lesions.
一名年轻女性患有典型的丛集性头痛发作,并伴有垂体肿块病变。经蝶窦切除肿瘤后头痛发作缓解,该肿瘤被诊断为肉芽肿性炎症。丛集性头痛与垂体肉芽肿性增大之间的关联此前从未被描述过。该病例进一步证明了越来越多的证据表明,即使在典型的丛集性头痛病例中,也必须进行神经影像学检查以排除结构性病变。