SUNCT syndrome associated with pituitary tumor: case report

Arquivos de Neuro-Psiquiatria

Pedro A.s. Rocha Filho¹  Antonio Cezar R. Galvão¹  Manoel J. Teixeira¹  Getulio D. Rabello¹  Ida Fortini¹  Marcelo Calderaro¹  Dalva Carrocini¹ 

[1] ,University of Sao Paulo Hospital das Clínicas Department of NeurologySao Paulo,Brazil

关键词: SUNCT;    pituitary tumor;    surgery;    ultra- shorting headaches;    SUNCT;    tumor de hipófise;    cirurgia;    cefaléia de curta duração;   

DOI  :  10.1590/S0004-282X2006000300029

来源: SciELO

【 摘 要 】

For twelve years, the subject of this report, a 38-year-old man, presented a clinical condition compatible with the SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) syndrome. He presented a stabbing and intense daily pain located in the left pre-auricular and temporal regions. Each of these intense pain attacks lasted around one minute and presented a frequency of two to eight times per day. The pain was associated with ipsilateral lacrimation, conjunctival injection and rhinorrhea. MRI revealed a pituitary tumor with little suprasellar extent. The subject’s serial assays of prolactin, GH, TSH and ACTH were within normal levels. Following transsphenoidal hypophysectomy, with complete removal of the tumor, the subject no more presented pain. The pathological diagnosis was non-secreting adenoma. Fourteen months after the surgery, he remains symptom-free.

【 授权许可】

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