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Thunderclap Headache From Complicated Sinusitis

Authors

  • Brian E. McGeeney MD, MPH,

  • Glenn Barest MD,

  • Gregory Grillone MD


  • From the Department of Neurology, Boston University School of Medicine, Boston, MA (Dr. McGeeney); Department of Radiology, Boston University School of Medicine, Boston, MA (Dr. Barest); and Department of Otolaryngology, Boston University School of Medicine, Boston, MA (Dr. Grillone).

Address all correspondence to Dr. Brian E. McGeeney, 715 Albany Street, Dept of Neurology, Boston University School of Medicine, C329, Boston, MA 02118.

Abstract

We report a case of complicated pansinusitis presenting with thunderclap headache. The patient quickly developed left ophthalmoplegia and imaging demonstrated extension of inflammation from the sphenoid sinus into the sellar region. Thunderclap headache is well known to occur from a variety of intracranial events, but complicated sinusitis presenting this way is seldom described. The patient recovered completely with appropriate treatment.

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