Liu Yonghui, Wei Tianlu
Department of Encephalopathy, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, China.
Cephalalgia. 2022 Feb;42(2):166-169. doi: 10.1177/03331024211036155. Epub 2021 Aug 18.
Paragangliomas are rare neuroendocrine tumors, especially in the bladder. Although many paragangliomas are non-functional, functioning paragangliomas present with many non-specific signs and symptoms, such as hypertension and headache, complicating their diagnosis. Here, we report a case of micturition-induced severe headache associated with a bladder paraganglioma.: This report describes a severe headache disorder triggered by micturition and associated with a bladder paraganglioma in a middle-aged woman. Her pain occurred consistently after micturition, beginning from the left side of the nose and gradually extended to the forehead and the parietal and occipital regions. The headaches lasted 5-10 min. Removal of the paraganglioma completely eliminated the patient's pain syndrome.
This case elucidates the association between micturition-triggered headaches and bladder paragangliomas. The presence of a post-micturition severe headache should suggest the possibility of a bladder paraganglioma.
副神经节瘤是一种罕见的神经内分泌肿瘤，尤其是在膀胱中。尽管许多副神经节瘤无功能，但有功能的副神经节瘤会出现许多非特异性体征和症状，如高血压和头痛，这使其诊断变得复杂。在此，我们报告一例与膀胱副神经节瘤相关的排尿诱发严重头痛的病例。：本报告描述了一名中年女性因排尿引发的严重头痛障碍，并与膀胱副神经节瘤相关。她的疼痛在排尿后持续出现，从鼻子左侧开始，逐渐扩展到前额以及顶叶和枕叶区域。头痛持续5 - 10分钟。切除副神经节瘤完全消除了患者的疼痛综合征。
该病例阐明了排尿诱发头痛与膀胱副神经节瘤之间的关联。排尿后出现严重头痛应提示膀胱副神经节瘤的可能性。
