Presence of headache and headache types in patients with tumors of the sellar region—can surgery solve the problem? Results of a prospective single center study

Abstract

Apart from pituitary apoplexy we detected no specific headache type in our patient group and no significant improvement of headache after neurosurgery. Headache alone constitutes neither a valid diagnostic marker for the presence of tumors of the sellar region nor a sufficient indication for tumor removal.

Indomethacin‐Responsive Paroxysmal Hemicrania in an Elderly Man: An Unusual Presentation of Pituitary Apoplexy

“…Bearing in mind the absence of any mass effect on the cavernous sinus or optic chiasm, tumor size seems to play no prominent role in the pathogenesis of PA‐related headache in our case. In a recent study, headaches in patients with pituitary tumors were suggested to occur more often in absence of cavernous sinus invasion and optic chiasm compression . Inflammation related to the necrosis leading to local trigeminal nociceptor excitation might be suggested in our specific case of TAC.…”

“…In a recent study, headaches in patients with pituitary tumors were suggested to occur more often in absence of cavernous sinus invasion and optic chiasm compression. 2 Inflammation related to the necrosis leading to local trigeminal nociceptor excitation might be suggested in our specific case of TAC. Moreover, in patients with pituitary adenomas, functioning rather than nonfunctioning adenomas were more likely to be associated with TACs.…”

“…1 Pituitary apoplexy (PA) is a life-threatening condition, usually revealed by thunderclap headache. 2 We herein report the rare case of an elderly man presenting with indomethacin-responsive PH, symptomatic of PA. This greatly broadens the diagnostic work-up for headache revealing PA and secondary headache in the elderly as well.A 83-year-old man, who had no prior history of headache, was admitted for five attacks a day of severe unilateral headaches for the last 5 days.…”

“…Unlike cluster headache, very few cases of PH due to secondary lesion have been described . Pituitary apoplexy (PA) is a life‐threatening condition, usually revealed by thunderclap headache . We herein report the rare case of an elderly man presenting with indomethacin‐responsive PH, symptomatic of PA.…”

Kopfschmerzen bei Hirntumoren

“…Außerdem verschwindet der Kopfschmerz nicht notwendigerweise nach der Tumorentfernung, so z. B. bei Tumoren der Sella-Region (23). Die eigentliche Hirntumortherapie ist auch nicht Gegenstand dieser Übersicht.…”