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Cephalalgia 2006-Jun

Chronic paroxysmal hemicrania in a patient with a macroprolactinoma.

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M Sarov
D Valade
C Jublanc
A Ducros

Keywords

Abstract

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.

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