Kou Liang, Huang Jinsha, Xu Yan, Han Chao, Ma Kai, Guo Xingfang, Xia Yun, Wan Fang, Yin Sijia, Hu Junjie, Wu Jiawei, Sun Yadi, Zhang Guoxin, Liu Ling, Xiong Nian, Wang Tao
Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Front Neurol. 2019 Jan 25;10:23. doi: 10.3389/fneur.2019.00023. eCollection 2019.
Cluster headache is generally considered to be a primary headache; secondary cluster-like headache is quite rare, while cluster-like headache secondary to meningioma is even rarer. Here, we describe an unusual case with cluster-like headache 2.5 years after sphenoid ridge meningioma surgery. The cluster-like headache and meningioma were on the same side, and even at the same position. Furthermore, the cluster-like headache lasted for 6 months. In addition, the patient did not respond well to conventional treatments for cluster headache, such as oxygen inhalation, carbamazepine, and tramadol. Brain magnetic resonance imaging demonstrated a softening lesion, glial hyperplasia, and localized thickening and enhancement of the dura in the left frontal-temporal lobe. However, positron-emission computed tomography showed reduced metabolism in the left frontal-temporal lobe. Although the possibility of a primary headache cannot be completely eliminated, the association between cluster-like headache and probable tumor recurrence or postoperative changes should be considered.
丛集性头痛通常被认为是一种原发性头痛；继发性丛集样头痛相当罕见，而继发于脑膜瘤的丛集样头痛则更为罕见。在此，我们描述了一例蝶骨嵴脑膜瘤手术后2.5年出现丛集样头痛的不寻常病例。丛集样头痛与脑膜瘤位于同一侧，甚至在同一位置。此外，丛集样头痛持续了6个月。另外，患者对丛集性头痛的传统治疗方法，如吸氧、卡马西平和曲马多，反应不佳。脑磁共振成像显示左额颞叶有软化灶、胶质细胞增生以及硬脑膜局限性增厚和强化。然而，正电子发射计算机断层扫描显示左额颞叶代谢降低。尽管不能完全排除原发性头痛的可能性，但应考虑丛集样头痛与可能的肿瘤复发或术后改变之间的关联。
