title: SUNCT syndrome associated with pituitary tumor: case report.
abstract: For twelve years, the subject of this report, a 38-year-old man, presented a clinical condition compatible with the SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) syndrome. He presented a stabbing and intense daily pain located in the left pre-auricular and temporal regions. Each of these intense pain attacks lasted around one minute and presented a frequency of two to eight times per day. The pain was associated with ipsilateral lacrimation, conjunctival injection and rhinorrhea. MRI revealed a pituitary tumor with little suprasellar extent. The subjects serial assays of prolactin, GH, TSH and ACTH were within normal levels. Following transsphenoidal hypophysectomy, with complete removal of the tumor, the subject no more presented pain. The pathological diagnosis was non-secreting adenoma. Fourteen months after the surgery, he remains symptom-free.
authors.affiliation: Headache Clinic, Department of Neurology, Hospital das Clínicas, University of Sao Paulo, Sao Paulo SP, Brazil.
authors.forename: Pedro A S
authors.initials: PA
authors.lastname: Rocha Filho
authors.forename: Antonio Cezar R
authors.initials: AC
authors.lastname: Galvão
authors.forename: Manoel J
authors.initials: MJ
authors.lastname: Teixeira
authors.forename: Getulio D
authors.initials: GD
authors.lastname: Rabello
authors.forename: Ida
authors.initials: I
authors.lastname: Fortini
authors.forename: Marcelo
authors.initials: M
authors.lastname: Calderaro
authors.forename: Dalva
authors.initials: D
authors.lastname: Carrocini
mesh_terms: D000236:Adenoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D006801:Humans; D007016:Hypophysectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D010911:Pituitary Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D050798:SUNCT Syndrome / Q000209:etiology*; D016896:Treatment Outcome