Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele

Background. The great majority of cases of cluster headache (CH) are primary, but there are several reported cases of CH secondary to underlying structural lesions. The identification of these lesions is crucial for the achievement of an effective treatment and favorable outcome, although the determ...

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Main Authors: Mariana Branco, Rita Rodrigues, Marta Lopes, Luís Ruano
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2018/5850286
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author Mariana Branco
Rita Rodrigues
Marta Lopes
Luís Ruano
author_facet Mariana Branco
Rita Rodrigues
Marta Lopes
Luís Ruano
author_sort Mariana Branco
collection DOAJ
description Background. The great majority of cases of cluster headache (CH) are primary, but there are several reported cases of CH secondary to underlying structural lesions. The identification of these lesions is crucial for the achievement of an effective treatment and favorable outcome, although the determination of a cause-effect relationship between the two entities may be challenging. Case Report. We present the first case of CH secondary to sphenoid sinus mucocele. Discussion. This case reinforces the need to perform neuroimaging studies in CH patients in order to identify lesions that can constitute its cause, especially if atypical features are present. Activation of the trigeminovascular system due to direct contact between the lesion and the trigeminal nerve or by local edema and inflammation possibly plays a role in the pathophysiology of this CH secondary to sphenoid sinus mucocele.
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series Case Reports in Neurological Medicine
spelling doaj-art-2ae6f429d9ae466180d8a2844cbcd50b2025-08-20T03:54:43ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/58502865850286Cluster-Like Headache Secondary to Sphenoid Sinus MucoceleMariana Branco0Rita Rodrigues1Marta Lopes2Luís Ruano3Neurology Department, Hospital São Sebastião, Entre Douro e Vouga Hospital Centre, Rua Dr. Cândido de Pinho, 4520-211 Santa Maria da Feira, PortugalNeurology Department, Hospital São Sebastião, Entre Douro e Vouga Hospital Centre, Rua Dr. Cândido de Pinho, 4520-211 Santa Maria da Feira, PortugalNeurology Department, Hospital São Sebastião, Entre Douro e Vouga Hospital Centre, Rua Dr. Cândido de Pinho, 4520-211 Santa Maria da Feira, PortugalNeurology Department, Hospital São Sebastião, Entre Douro e Vouga Hospital Centre, Rua Dr. Cândido de Pinho, 4520-211 Santa Maria da Feira, PortugalBackground. The great majority of cases of cluster headache (CH) are primary, but there are several reported cases of CH secondary to underlying structural lesions. The identification of these lesions is crucial for the achievement of an effective treatment and favorable outcome, although the determination of a cause-effect relationship between the two entities may be challenging. Case Report. We present the first case of CH secondary to sphenoid sinus mucocele. Discussion. This case reinforces the need to perform neuroimaging studies in CH patients in order to identify lesions that can constitute its cause, especially if atypical features are present. Activation of the trigeminovascular system due to direct contact between the lesion and the trigeminal nerve or by local edema and inflammation possibly plays a role in the pathophysiology of this CH secondary to sphenoid sinus mucocele.http://dx.doi.org/10.1155/2018/5850286
spellingShingle Mariana Branco
Rita Rodrigues
Marta Lopes
Luís Ruano
Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele
Case Reports in Neurological Medicine
title Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele
title_full Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele
title_fullStr Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele
title_full_unstemmed Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele
title_short Cluster-Like Headache Secondary to Sphenoid Sinus Mucocele
title_sort cluster like headache secondary to sphenoid sinus mucocele
url http://dx.doi.org/10.1155/2018/5850286
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AT martalopes clusterlikeheadachesecondarytosphenoidsinusmucocele
AT luisruano clusterlikeheadachesecondarytosphenoidsinusmucocele