Chronic paroxysmal hemicrania in a patient with a macroprolactinoma.
We report a patient with headaches meeting the criteria of chronic paroxysmal hemicrania, as defined by the International Headache Society classification. Headaches were fully responsive to indomethacin during the first 3 months of treatment but recurred when daily doses were lowered. Investigations revealed a macroprolactinoma. Headaches stopped after cabergoline treatment. This report further suggests that patients with paroxysmal hemicrania should be investigated for pituitary abnormalities.
Sarov
M
M
Emergency Headache Centre, Lariboisière Hospital, Paris, France.
Valade
D
D
Jublanc
C
C
Ducros
A
A