SUNCT syndrome associated with pituitary tumor: case report

• Autor(a) principal: Rocha Filho,Pedro A.S.
• Data de Publicação: 2006
• Outros Autores: Galvão,Antonio Cezar R., Teixeira,Manoel J., Rabello,Getulio D., Fortini,Ida, Calderaro,Marcelo, Carrocini,Dalva
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Arquivos de neuro-psiquiatria (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000300029
• topic: SUNCT; pituitary tumor; surgery; ultra- shorting headaches

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 subject’s 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.