Cluster-like headache and idiopathic intracranial hypertension: a case report.
Cluster headache (CH) is a well-defined primary headache syndrome, but cases of symptomatic headache with clinical features of CH have been previously reported. Idiopathic Intracranial Hypertension (IIH) is a secondary headache disorder characterized by headache and visual symptoms, without clinical, radiological or laboratory evidence of intracranial pathology. Both papilloedema and IIH-related headache are typically bilateral, however asymmetrical or even unilateral localizations are described in literature. We report the case of a previously headache-free woman who presented cluster-like headache and asymmetrical papilloedema related to IIH. In our opinion the asymmetrical presentation supports, in this case, the hypothesis of cavernous sinus involvement in the IIH-related cluster-like headache pathogenesis.
Testa
Lucia
L
Department of Neurology, Amedeo Avogadro University, Maggiore della Carità Hospital, Novara, Italy. lu_testa2000@yahoo.co.it
Mittino
Daniela
D
Terazzi
Emanuela
E
Mula
Marco
M
Monaco
Francesco
F
D000328:Adult; D003027:Cluster Headache / Q000150:complications*; D005260:Female; D006801:Humans; D010211:Papilledema / Q000209:etiology; D011559:Pseudotumor Cerebri / Q000150:complications / Q000209:etiology*