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KMID : 0359720180360020113
Journal of the Korean Neurological Association
2018 Volume.36 No. 2 p.113 ~ p.116
Invasive Sphenoid Sinus Aspergillosis Presenting Hemicrania Continua-Like Headache
Hwang Bo-Song

Choi Bhom
Choi In-Young
Kim Hyun-Seung
Chu Min-Kyung
Shin Ha-Young
Kim Seung-Min
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.
KEYWORD
Aspergillosis, Trigeminal autonomic cephalalgias, Headache
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