Cluster-like headache and a cystic hypothalamic tumour as first presentation of sarcoidosis

Vlist, Steven H M van der; Hummelink, Bernard J C M; Westerga, Johan; Boogerd, Willem

doi:10.1177/0333102412475237

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…We found 23 cases with a cluster headache-like phenotype in 23 articles [ 2 , 5 , 6 •, 7 – 10 , 11 •, 12 – 26 ]. We excluded 3 patients, as they did not fulfil the ICHD-III criteria beta version, all having an attack duration of more than 3 h [ 18 , 23 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

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Symptomatic Trigeminal Autonomic Cephalalgias

Coo

Wilbrink

Haan

2015

Curr Pain Headache Rep

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Trigeminal autonomic cephalalgias (TACs) are primary headache syndromes that share some clinical features such as a trigeminal distribution of the pain and accompanying ipsilateral autonomic symptoms. By definition, no underlying structural lesion for the phenotype is found. There are, however, many descriptions in the literature of patients with structural lesions causing symptoms that are indistinguishable from those of idiopathic TACs. In this article, we review the recent insights in symptomatic TACs by comparing and categorizing newly published cases. We confirm that symptomatic TACs can have typical phenotypes. It is of crucial importance to identify symptomatic TACs, as the underlying cause will influence treatment and outcome. Our update focuses on when a structural lesion should be sought.

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Section: Resultsmentioning

confidence: 99%

“…A vascular cause, a stroke secondary to moyamoya disease, was found in 1 patient [ 29 ]. Other patients had an intrasellar arachnoid cyst, maxillary sinusitis ( n = 2), compression of the right vertebral artery by fibrosis, sarcoidosis (with a hypothalamic lesion), and obstructive sleep apnoea [ 8 , 10 , 11 •, 12 , 22 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

Symptomatic Trigeminal Autonomic Cephalalgias

Coo

Wilbrink

Haan

2015

Curr Pain Headache Rep

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Differential Diagnosis, Including Secondary Forms

Pozo‐Rosich

Zagami

2019

Cluster Headache and Other Trigeminal Autonomic Cephalgias

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Symptomatic cluster headache: a review of 63 cases

Edvardsson

2014

SpringerPlus

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Cluster headache is a primary headache by definition not caused by any known underlying structural pathology. Symptomatic cases have been described, for example tumours, dissections and infections, but a causal relationship between the underlying lesion and the headache is difficult to determine in many cases. The proper diagnostic evaluation of cluster headache is an issue unresolved. The literature has been reviewed for symptomatic cluster headache or cluster headache-like cases in which causality was likely. The review also attempted to identify clinical predictors of underlying lesions in order to formulate guidelines for neuroimaging. Sixty-three cluster headache or "cluster headache-like"/"cluster-like headache" cases in the literature were identified which were associated with an underlying lesion. A majority of the cases had a non-typical presentation that is atypical symptomatology and abnormal examination (including Horner’s syndrome). A striking finding in this appraisal was that a significant proportion of CH cases were secondary to diseases of the pituitary gland or pituitary region. Another notable finding was that a proportion of cluster headache cases were associated with arterial dissection. Even typical cluster headaches can be caused by structural lesions and the response to typical cluster headache treatments does not exclude a secondary form. It is difficult to draw definitive conclusions from this retrospective review of case reports especially considering the size of the material. However, based on this review, I suggest that neuroimaging, preferably contrast-enhanced magnetic resonance imaging/magnetic resonance angiography should be undertaken in patients with atypical symptomatology, late onset, abnormal examination (including Horner’s syndrome), or those resistant to the appropriate medical treatment. The decision to perform magnetic resonance imaging in cases of typical cluster headache remains a matter of medical art.

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Cluster-like headache and a cystic hypothalamic tumour as first presentation of sarcoidosis

Cited by 4 publications

References 16 publications

Symptomatic Trigeminal Autonomic Cephalalgias

Symptomatic Trigeminal Autonomic Cephalalgias

Differential Diagnosis, Including Secondary Forms

Symptomatic cluster headache: a review of 63 cases

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