The Neurological Institute of New York, 710 West 168th St, New York, NY, 10032, USA.
Curr Pain Headache Rep. 2018 Jul 4;22(8):57. doi: 10.1007/s11916-018-0709-1.
Pituitary tumors account for approximately 17% of all intracranial neoplasms, with the majority being pituitary adenomas. Often, these are found incidentally during a workup for headache; however, the relationship between symptom and pathology remains unclear. The purpose of this article is to review the most recent literature on the epidemiology, pathophysiology, and management of headaches in patients with pituitary tumors.
The current literature is limited, with few prospective trials focusing on this question. With the exception of pituitary apoplexy, the relationship between headaches and pituitary masses remains unclear. Intervention does not always improve headache and can lead to development of new headache syndromes. Further research is needed to better elucidate the relationship between pituitary tumors and headaches. Headache alone is rarely an indication for surgical management of a pituitary adenoma.
垂体肿瘤约占所有颅内肿瘤的 17%，其中大多数为垂体腺瘤。这些肿瘤通常在头痛的检查中偶然发现；然而，症状与病理之间的关系仍不清楚。本文旨在综述垂体肿瘤患者头痛的流行病学、病理生理学和治疗的最新文献。
目前的文献有限，很少有前瞻性试验关注这个问题。除垂体卒中外，头痛与垂体肿块之间的关系仍不清楚。干预并不总是能改善头痛，并可能导致新的头痛综合征的发展。需要进一步的研究来更好地阐明垂体肿瘤和头痛之间的关系。头痛本身很少是垂体腺瘤手术治疗的指征。
