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Case Report ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Neurol. | doi: 10.3389/fneur.2019.00023

Cluster-like Headache Secondary to Anamnesis of Sphenoid Ridge Meningioma: A Case Report and Literature Review

  • 1Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, China
  • 2The First Affiliated Hospital, University of Science and Technology of China, China

Cluster headache is generally considered to be a primary headache; secondary cluster-like headache is quite rare, while cluster-like headache secondary to meningioma is even rarer. Here, we describe an unusual case with cluster-like headache 2.5 years after sphenoid ridge meningioma surgery. The cluster-like headache and meningioma were on the same side, and even at the same position. Furthermore, the cluster-like headache lasted for 6 months. In addition, the patient did not respond well to conventional treatments for cluster headache, such as oxygen inhalation, carbamazepine, and tramadol. Brain magnetic resonance imaging demonstrated a softening lesion, glial hyperplasia, and localized thickening and enhancement of the dura in the left frontal-temporal lobe. However, positron-emission computed tomography showed reduced metabolism in the left frontal-temporal lobe. Although the possibility of a primary headache cannot be completely eliminated, the association between cluster-like headache and probable tumor recurrence or postoperative changes should be considered.

Keywords: Cluster Headache, Meningioma, Postoperative headache, glial hyperplasia, Craniotomy, Symptomatic

Received: 04 Sep 2018; Accepted: 09 Jan 2019.

Edited by:

Anna Andreou, King's College London, United Kingdom

Reviewed by:

Ali SAZCI, Kocaeli University, Turkey
Yohannes W Woldeamanuel, MD, School of Medicine, Stanford University, United States  

Copyright: © 2019 Kou, Huang, Xu, Han, Ma, Guo, Xia, Wan, Yin, Hu, Wu, Sun, Zhang, Liu, Xiong and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Tao Wang, Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, wangtaowh@hust.edu.cn