Conflict of Interest: None.
Images From Headache
Trigeminal Autonomic Headaches Caused by a Multinodular Goiter – A Case Report
Version of Record online: 13 MAR 2014
© 2014 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 54, Issue 8, pages 1369–1370, September 2014
How to Cite
Smit, R. A.J., Treurniet, F. E.E. and Koppen, H. (2014), Trigeminal Autonomic Headaches Caused by a Multinodular Goiter – A Case Report. Headache: The Journal of Head and Face Pain, 54: 1369–1370. doi: 10.1111/head.12315
Financial Support: None.
- Issue online: 8 SEP 2014
- Version of Record online: 13 MAR 2014
- trigeminal autonomic cephalgia;
- Horner's syndrome;
- multinodular goiter;
- carotid dissection
Though thyroid growths are considered to be a frequent cause of Horner's syndrome, concurrent headache attacks are not commonly seen.
A 63-year-old woman presented with severe, daily occurring, unilateral headache attacks with ipsilateral Horner's syndrome. Magnetic resonance imaging arteriography showed a multinodular goiter displacing the left common carotid artery.
This case exemplifies the combination of headache attacks and Horner's syndrome due to mechanical pressure of an enlarged thyroid, mimicking the symptoms both of carotid dissection as well as trigeminal autonomic cephalgias like paroxysmal hemicrania.