Migrainelike Headache in a Patient With a Hemorrhagic Pituitary Macroadenoma
Article first published online: 25 JUN 2002
Headache: The Journal of Head and Face Pain
Volume 37, Issue 7, pages 455–456, July/August, 1997
How to Cite
Evans, R. W. (1997), Migrainelike Headache in a Patient With a Hemorrhagic Pituitary Macroadenoma. Headache: The Journal of Head and Face Pain, 37: 455–456. doi: 10.1046/j.1526-4610.1997.3707455.x
- Issue published online: 25 JUN 2002
- Article first published online: 25 JUN 2002
- Accepted for publication November 6, 1996.
- Cited By
- pituitary adenoma;
- pituitary hemorrhage;
- pituitary apoplexy;
- migrainelike headache;
- acute headache
A 23-year-old woman presented with a 4-day history of a severe migrainelike headache with a normal neurologica examination. The headache resolved after a ketorolac injection, but recurred a few hours later. An MRI scan of the brain showed a hemorrhagic pituitary macroadenoma for which she underwent transsphenoidal removal of the tumor 1 month later. Although uncommon, pituitary hemorrhage with and without apoplexy should be considered in the differential diagnosis of acute headache. Pituitary hemorrhage can be routinely identified on an MRI scan even without pituitary views. However, the pathology can be overlooked and underimaged on a CT scan for acute headache using 10-mm and even 5-mm slices.