KMID : 0359720180360020113
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Journal of the Korean Neurological Association 2018 Volume.36 No. 2 p.113 ~ p.116
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Invasive Sphenoid Sinus Aspergillosis Presenting Hemicrania Continua-Like Headache
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Hwang Bo-Song
Choi Bhom Choi In-Young Kim Hyun-Seung Chu Min-Kyung Shin Ha-Young Kim Seung-Min
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Abstract
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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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KEYWORD
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Aspergillosis, Trigeminal autonomic cephalalgias, Headache
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