Is There an Association Between Pituitary Adenomas and Autonomic Cephalgia?

Authors : Şükran KAYGISIZ, Özlem COŞKUN, Serap ÜÇLER, Levent Ertuğrul İNAN, Burç Esra ŞAHİN

Pages : 267-272

Doi:10.19127/mbsjohs.554125

View : 25 | Download : 10

Publication Date : 2019-12-31

Article Type : Research Paper

Abstract :Objective: Trigeminal autonomic cephalalgias insert ignore into journalissuearticles values(TACs); are a group of primary headache syndromes. Although hemicrania continua insert ignore into journalissuearticles values(HC);is not included among the TACs according to the International Classification of Headache Disorders insert ignore into journalissuearticles values(ICHD-II);, it also shows autonomic symptoms. In the literature, some authors suggest that TACs can be related with pituitary lesions. In this study, we have compared the pituitary lesions observed in the TAC, HC and migraine-type headache patients Methods The cranial magnetic resonance images insert ignore into journalissuearticles values(MRI); of the patients with TAC, HC and migraine without aura insert ignore into journalissuearticles values(MWOA); unaccompanied by autonomic symptoms were retrospectively evaluated. The 33 TAC and HC patients were compared with the 30 migraine without aura insert ignore into journalissuearticles values(MWOA); patients. Results: The mean age of the TAC and HC patients was 43. 36±10. 72 years, whereas the mean age of the MWOA patients was 39.0±6.92 years. No statistically significant difference in terms of age was observed between the groups insert ignore into journalissuearticles values(p˃0.05);. The MRI of the TACs and HC patients indicated that 62.5% insert ignore into journalissuearticles values(n:20); were normal, while 12.5% insert ignore into journalissuearticles values(n:4); had pituitary microadenomas, 6.3 % insert ignore into journalissuearticles values(n:2); had macroadenomas, 12.5% insert ignore into journalissuearticles values(n:4); had suspected pituitary microadenomas, and 6. 3% insert ignore into journalissuearticles values(n:2); had suspected heterogeneity. The MRI results of the MWOA patients were normal in 46.7% insert ignore into journalissuearticles values(n:14);, whereas 23.3% insert ignore into journalissuearticles values(n:7); had pituitary microadenomas, 23.3% insert ignore into journalissuearticles values(n:7); had suspected pituitary microadenomas, and 6. 2% insert ignore into journalissuearticles values(n:2); had suspected pituitary heterogeneity. No statistically significant difference was observed between both groups insert ignore into journalissuearticles values(p>0. 05);. Conclusion: In this study, no correlation was observed between the TACs, HC and pituitary abnormalities. In conclusion, the use of pituitary MRI has not been supported as a routine method in patients with this type of headache
Keywords : Hypophysis, Headache, Pituitary