Invasive Sphenoid Sinus Aspergillosis Presenting Hemicrania Continua-Like Headache
- Author:
Song HWANGBO
1
;
Bohm CHOI
;
Inyoung CHOI
;
Hyun Seung KIM
;
Min Kung CHU
;
Ha Young SHIN
;
Seung Min KIM
Author Information
- Publication Type:Case Report
- Keywords: Aspergillosis; Trigeminal autonomic cephalalgias; Headache
- MeSH: Aspergillosis; Diagnosis; Headache; Indomethacin; Pathology; Sphenoid Sinus; Trigeminal Autonomic Cephalalgias
- From:Journal of the Korean Neurological Association 2018;36(2):113-115
- CountryRepublic of Korea
- Language:Korean
- Abstract: Hemicrania continua (HC) is an indomethacin-responsive primary headache. Owing to continuous unilateral headache and clinical rarity, a great attention should be paid during the diagnosis of HC to exclude secondary causes of headache. Various pathologies have been described for HC-like headache. We describe a 64-year old man with invasive sphenoid sinus aspergillosis who presented continuous unilateral headache, trigeminal autonomic symptoms and response to oral indomethacin 225 mg/day. He was treated with intranasal ethmoidectomy and antifungal agent, and his headache has greatly improved.
