J Korean Neurol Assoc.
2018 May;36(2):113-115. 10.17340/jkna.2018.2.12.
Invasive Sphenoid Sinus Aspergillosis Presenting Hemicrania Continua-Like Headache
- Affiliations
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- 1Department of Neurology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. chuminkyung@gmail.com
- 2Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 2436111
- DOI: http://doi.org/10.17340/jkna.2018.2.12
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.
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