Cluster-like headache secondary to maxillary sinusitis by Aspergillus:

Cephalalgia Reports

Laura MartinezRodriguez¹ 

关键词: cluster headache;    differential diagnosis;    infection;    symptomatic;    trigeminal nerve;   

DOI  :  10.1177/2515816318814226

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

A symptomatic cluster headache (CH), caused by fungal maxillary sinus infection fulfilling the criteria of International Headache Society (ICDH-3) for CH is presented. A 35-year-old man without previous headaches reported episodes of pain in the right fronto-orbitary region, with severe eyelid oedema, photophobia, frontal sweating, lacrimation, conjunctival injection and rhinorrhoea, which lasted for 2–3 h. A brain magnetic resonance imaging (MRI) showed occupation of the right maxillary sinus, a mycetoma due to Aspergillus fumigatus. Although rare, secondary causes must be discarded before the diagnosis of a primary CH is made. Imaging study should always be performed, even though no atypical feature was present and ICDH-3 were fulfilled.

【 授权许可】

CC BY