Headache Caused by a Sphenoid Mucocele but Presenting as an Ergotamine-Induced Headache
Article first published online: 25 JUN 2002
Headache: The Journal of Head and Face Pain
Volume 37, Issue 7, pages 460–462, July/August, 1997
How to Cite
Bauer, B., Evers, S., Lindörfer, H. W., Schuierer, G., Henningsen, H. and Husstedt, I.-W. (1997), Headache Caused by a Sphenoid Mucocele but Presenting as an Ergotamine-Induced Headache. Headache: The Journal of Head and Face Pain, 37: 460–462. doi: 10.1046/j.1526-4610.1997.3707460.x
- Issue published online: 25 JUN 2002
- Article first published online: 25 JUN 2002
- Accepted for publication December 13, 1996.
- Cited By
In a 65-year-old woman, symptomatic headache caused by a mucocele of the sphenoid sinus led to ergotamine abuse and subsequent ergotamine-induced headache. Since there were no neurological symptoms initially and the patient previously suffered from migraine, the mucocele was not recognized. Only after unsuccessful drug withdrawal therapy and an MRI, was the correct diagnosis made. Surgical removal of the mucocele led to complete relief of headache within 3 weeks. We conclude that ergotamine-induced headache can develop on the basis of symptomatic headache. In spite of the effectiveness of ergotamine tartrate, an MRI should be performed if focal neurological symptoms occur.