RESUMO
A serologically proven case of parainfluenza viral infection was associated with the onset and disappearance of cluster headache. The patient had long-standing migraine that ceased during the cluster headache period and recurred when the latter stopped. Possibly, the virus was neurally transmitted to the trigeminal-autonomic system, creating an inflammatory response that transiently precipitated cluster headache and obliterated migraine.
Assuntos
Cefaleia Histamínica/microbiologia , Transtornos de Enxaqueca/virologia , Vírus da Parainfluenza 3 Humana , Infecções por Respirovirus/complicações , Idoso , Humanos , Masculino , Vírus da Parainfluenza 3 Humana/imunologia , Recidiva , Remissão EspontâneaRESUMO
Clusterlike headaches secondary to structural disease have been described. Nevertheless, most of the reports antedate the International Headache Society classification and, indeed, only a few appear to fit its criteria for a diagnosis of cluster headache. We report here a case of sphenoidal sinus aspergilloma that fully complies with the criteria for cluster headache. This kind of lesion has never been described previously as a cause of a clusterlike headache.