Back to Search
Start Over
SUNCT and high nocturnal prolactin levels: some new unusual characteristics
- Source :
- The Journal of Headache and Pain
- Publication Year :
- 2007
- Publisher :
- Springer Science and Business Media LLC, 2007.
-
Abstract
- SUNCT is a rare condition characterised by a short-lasting periorbital pain associated with autonomic symptoms and is usually unresponsive to pharmacological treatment. We report a case of SUNCT syndrome linked to a pituitary micro-adenoma, with only nocturnal attacks. The nocturnal levels of prolactin (PRL) were increased, while other hormonal, haematological, serological and biochemical investigations and levels of PRL did not reveal abnormal findings during the day-time. PRL serum secretion after thyrotropin-releasing hormone test was lower than nocturnal secretion, but not enough to induce severe attacks. We suggest that in our patient the rise of nocturnal levels of PRL could have a direct role in the worsening of this headache, perhaps secondarily to an altered regulation of the hypothalamic–hypophysial axis, however the actual influence of sleep and the interaction between all neurotransmitters and hormones needs to be clarified further.
- Subjects :
- Adult
endocrine system
medicine.medical_specialty
endocrine system diseases
Original
Clinical Neurology
Thyrotropin-releasing hormone
Neurological disorder
Nocturnal
Pituitary adenoma
Internal medicine
medicine
Humans
SUNC
Circadian rhythm
SUNCT Syndrome
business.industry
Hyperprolactinaemia
Brain
General Medicine
SUNCT and neuro-endocrine disorders
medicine.disease
Magnetic Resonance Imaging
Prolactin
Circadian Rhythm
Anesthesiology and Pain Medicine
Endocrinology
Female
Nocturnal headaches
Neurology (clinical)
business
hormones, hormone substitutes, and hormone antagonists
Hormone
Subjects
Details
- ISSN :
- 11292377 and 11292369
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- The Journal of Headache and Pain
- Accession number :
- edsair.doi.dedup.....91ae721b201bfc7e40464321cfa0230b