SUNCT syndrome associated with pituitary tumor: case report

Pedro A.S. Rocha Filho, Antonio Cezar R. Galvão, Manoel J. Teixeira, Getulio D. Rabello, Ida Fortini, Marcelo Calderaro, Dalva Carrocini
2006 Arquivos de Neuro-Psiquiatria  
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
more » ... silateral 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.
doi:10.1590/s0004-282x2006000300029 pmid:16917628 fatcat:355wbvtn2zfuhekzcvv77vwdhy