Resolution of paroxysmal hemicrania after resection of intracranial meningioma.

Abstract:

:Paroxysmal hemicrania is a trigeminal autonomic cephalalgia first described in 1976, characterized by episodic attacks of excruciating unilateral periorbital and temporal stabbing, pulsatile, craw-like, or boring headaches lasting 2 - 30 minutes, accompanied by autonomic features, and alleviated by indomethacin. Paroxysmal hemicrania is divided into an episodic or chronic form, depending on the duration and frequency of the attacks. We describe a case of paroxysmal hemicrania in a patient with a contralateral anterior clinoid meningioma, which resolved after tumor resection. Most cases of autonomic cephalgias are primary headaches and not caused by underlying intracranial structural lesions. Based on our patient and a literature review of secondary causes of trigeminal autonomic cephalalgias, we recommend that all patients with trigeminal autonomic cephalalgias including paroxysmal hemicrania undergo neuroimaging studies. The preferred neuro-radiologic procedure should be a cranial MRI to exclude underlying structural intracranial lesions, particularly in the sellar and parasellar regions.

journal_name

Semin Ophthalmol

authors

Dafer RM,Hocker S,Kumar R,McGee J,Jay WM

doi

10.3109/08820531003635505

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

34-5

issue

1-2

eissn

0882-0538

issn

1744-5205

journal_volume

25

pub_type

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