Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2013  |  Volume : 16  |  Issue : 2  |  Page : 226--228

Nummular headache and pituitary lesion: A case report and literature review


Chi Chui1, Wei Hsi Chen2, Hsin Ling Yin3 
1 Department of Neurosurgery, Paochien Hospital, Pingtung, Taiwan
2 Department of Neurology, Kaohsiung Chang Gung Memorial Hospital, and College of Medicine, Chang Gung University, Kaohsiung, Taiwan
3 Department of Pathology, Faculty of Clinical Forensic Medicine, Kaohsiung Medical University Hospital, and College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

Correspondence Address:
Hsin Ling Yin
Department of Pathology, Faculty of Clinical Forensic Medicine, Kaohsiung Medical University Hospital, 100 Tzyou, 1st Road, San-Min District, Kaohsiung City 833
Taiwan

Nummular headache (NH) is a newly categorized headache disorder characterized by a consistent clinicographics in each attack. Currently, it is considered as a primary headache disorder due to epicranial neuralgia but the pathomechanism is still unknown. We report a woman, whose recurrent NH subsided after trans-sphenoidal surgery for her pituitary oncocytoma. The recovery of NH in this patient encourages the central mechanism for NH occurrence. After a review of literature concerning, NH and intracranial secondaries we propose that central NH is a referral pain from pain-sensitive structures, such as meninges, superimposing by pre-existing lower pain threshold or pain modulation.


How to cite this article:
Chui C, Chen WH, Yin HL. Nummular headache and pituitary lesion: A case report and literature review.Ann Indian Acad Neurol 2013;16:226-228


How to cite this URL:
Chui C, Chen WH, Yin HL. Nummular headache and pituitary lesion: A case report and literature review. Ann Indian Acad Neurol [serial online] 2013 [cited 2019 Jun 17 ];16:226-228
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=2;spage=226;epage=228;aulast=Chui;type=0