Headache Attributed to Fibrous Dysplasia of the Ethmoid Bone Mimicking Menstrual Migraine Without Aura

Kim, Kyung Soo

doi:10.1097/scs.0000000000002685

Cited by 6 publications

(8 citation statements)

References 27 publications

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“…If loss of function is not expected, it can be pre-ferred that the lesion is completely excised during a surgical intervention. However if the complete excision of a lesion is risky in terms of function, surgical intervention is generally performed in a way to remove the parts causing symptoms in small pieces (4,15). In our study, the mean age was similar to previous studies; however we reported more female cases.…”

Section: Discussionsupporting

confidence: 86%

Sinonazal Bölge Benign Kemik Tümörlerinin Radyolojik Değerlendirmesi

Burakgazi¹,

Bayaroğulları²

2020

Mustafa Kemal Üniversitesi Tıp Dergisi

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Sinonazal bölgedeki benign kemik kitlelerini, sinonazal bölge ve komşu yapılarla ilişkisinin radyolojik olarak değerlendirilmesi. Yöntem: Sinonazal bölgeden 2010-2016 yılları arasında elde edilen çok kesitli bilgisayarlı tomografi (ÇKBT) ve manyetik rezonans görüntüleme (MRG) bulguları retrospektif olarak değerlendirildi. Radyolojik bulgulara dayanarak, büyüklükleri nedeniyle nadir görülen 41 olgu, histopatolojik özellikler ve lokalizasyonları çalışmaya dahil edildi. Bulgular: Kırk bir olgunun 22'inde osteoma, 16'sında fibröz displazi, diğerlerinde anevrizmal kemik kisti, enkondrom ve brown tümör vardı. Sonuç: Sinonazal bölgenin iyi huylu kemik tümörlerini görüntülerken, ÇKBT ve MRG en sık kullanılan yöntemlerdir. Radyografi, bazı durumlarda bir lezyonun varlığını gösterebilir, ancak lezyonun doğasını ve lezyon ile komşu yapılar arasındaki ilişkileri belirlemekte yetersizdir.

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Section: Discussionsupporting

confidence: 86%

Sinonazal Bölge Benign Kemik Tümörlerinin Radyolojik Değerlendirmesi

Burakgazi¹,

Bayaroğulları²

2020

Mustafa Kemal Üniversitesi Tıp Dergisi

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“…Following exclusion of 53 items, 109 items comprising 504 cases were reviewed. A total of 53 items were labeled as “Cases—Structural” (70 individual case reports in total) 12–64 (Table ), 34 as “Cases—Nonstructural” (50 individual case reports in total) 65–98 (Table ), and 19 as “Groups” (384 cases in total) 99–117 (Table ). In addition, from two case series of three patients, 118,119 three cases were included in “Cases—Structural,” and three in “Cases—Other.” In one case, additional information was gathered from a previous report of the same case 38,120 …”

Section: Resultsmentioning

confidence: 99%

“…Eight of the 73 cases were reported by the authors as symptomatic migraine without aura and fulfilled the ICHD criteria for MWoA. 20,24,28,33,45,50,119 In two cases, headache was side-locked to the side of the lesion. Types of lesions were meningiomas (n = 3, at least one temporal); brainstem gliosis (n = 1); frontal AVM (n = 1); fibrous dysplasia of the ethmoid bone (n = 1); carotid artery occlusion (n = 1); carotid artery aneurysm (n = 1); and ectasia, elongation, and sinuosity of vertebral and basilar arteries (n = 1).…”

Section: Cases-structuralmentioning

confidence: 99%

“…Furthermore, 23 cases fulfilled our criteria for possible symptomatic migraine. 12,16,20,22,24,30,34,38,40,44,[48][49][50][51][52][53][55][56][57]64 Of these, two were cases of MWoA (vertebral artery ectasia [n = 1], dysplasia of the ethmoid bone [n = 1]). Eighteen experienced aura before headache, one experienced aura during headache, one had experienced headache only once, and in one, no information was provided regarding timing of aura and headache.…”

Section: Cases-structuralmentioning

confidence: 99%

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Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

et al. 2021

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Objective To determine if a clinical presentation indistinguishable from migraine can occur due to an underlying condition or pathology, that is, "symptomatic migraine." Background It is currently not clear whether migraine truly can be caused by an underlying condition or pathology. Characterization of the etiology and clinical features of possible symptomatic migraine is of significant clinical importance and further may help elucidate the pathophysiology of migraine. Methods We devised operational diagnostic criteria for “symptomatic migraine” and “possible symptomatic migraine” requiring strong evidence for a causal relation between underlying cause and migraine symptoms adhering strictly to diagnostic criteria. PubMed was searched for case reports of symptomatic migraine from inception to March 2020. Only articles published in English or German were included. No restrictions were placed on study design. Relevant references in the articles were also included. Papers were systematically reviewed by two independent reviewers for detailed clinical features of migraine as well as the proposed underlying conditions and the effects of treatment of these conditions. Results Our search retrieved 1726 items. After screening, 109 papers comprising 504 cases were reviewed in detail. Eleven patients with migraine with aura (MWA) fulfilled our working criteria for symptomatic migraine, and 39 patients fulfilled our criteria for possible symptomatic migraine. The most common etiologies of symptomatic migraine were arteriovenous malformations, carotid stenosis, dissection or aneurysm, brain infarctions, meningioma, and various intra‐axial tumors. Conclusions Symptomatic MWA, indistinguishable from idiopathic MWA, may occur due to cortical lesions or microembolization. We found no clear evidence supporting the existence of symptomatic migraine without aura although we did identify possible cases. Our findings are limited by the available literature, and we suggest that prospective studies are needed.

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“…Pain remains a complex, inadequately understood and poorly managed feature of FD (5)(6)(7). Craniofacial skeletal lesions in FD are the probable and inciting cause of atypical facial pain, headaches, or migraines (8)(9)(10). However, the severity or type of pain reported by patients with FD is highly variable.…”

Section: Introductionmentioning

confidence: 99%

Case Report: The Imperfect Association Between Craniofacial Lesion Burden and Pain in Fibrous Dysplasia

et al. 2022

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Patients with fibrous dysplasia (FD) often present with craniofacial lesions that affect the trigeminal nerve system. Debilitating pain, headache, and migraine are frequently experienced by FD patients with poor prognosis, while some individuals with similar bone lesions are asymptomatic. The clinical and biological factors that contribute to the etiopathogenesis of pain in craniofacial FD are largely unknown. We present two adult females with comparable craniofacial FD lesion size and location, as measured by 18F-sodium fluoride positron emission tomography/computed tomography (PET/CT), yet their respective pain phenotypes differed significantly. Over 4 weeks, the average pain reported by Patient A was 0.4/0–10 scale. Patient B reported average pain of 7.8/0–10 scale distributed across the entire skull and left facial region. Patient B did not experience pain relief from analgesics or more aggressive treatments (denosumab). In both patients, evaluation of trigeminal nerve divisions (V1, V2, and V3) with CT and magnetic resonance imaging (MRI) revealed nerve compression and displacement with more involvement of the left trigeminal branches relative to the right. First-time employment of diffusion MRI and tractography suggested reduced apparent fiber density within the cisternal segment of the trigeminal nerve, particularly for Patient B and in the left hemisphere. These cases highlight heterogeneous clinical presentation and neurobiological properties in craniofacial FD and also, the disconnect between peripheral pathology and pain severity. We hypothesize that a detailed phenotypic characterization of patients that incorporates an advanced imaging approach probing the trigeminal system may provide enhanced insights into the variable experiences with pain in craniofacial FD.

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Headache Attributed to Fibrous Dysplasia of the Ethmoid Bone Mimicking Menstrual Migraine Without Aura

Cited by 6 publications

References 27 publications

Sinonazal Bölge Benign Kemik Tümörlerinin Radyolojik Değerlendirmesi

Sinonazal Bölge Benign Kemik Tümörlerinin Radyolojik Değerlendirmesi

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

Case Report: The Imperfect Association Between Craniofacial Lesion Burden and Pain in Fibrous Dysplasia

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