Migrainelike headache in a patient with a hemorrhagic pituitary macroadenoma

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12 Scopus citations


A 23-year-old woman presented with a 4-day history of a severe migrainelike headache with a normal neurological examination. The headache resolved after a ketorolac injection, but recurred a few hours later. An MRI scan of the brain showed a hemorrhagic pituitary macroadenoma for which she underwent transsphenoidal removal of the tumor 1 month later. Although uncommon, pituitary hemorrhage with and without apoplexy should be considered in the differential diagnosis of acute headache. Pituitary hemorrhage can be routinely identified on an MRI scan even without pituitary views. However, the pathology can be overlooked and underimaged on a CT scan for acute headache using 10-mm and even 5-mm slices.

Original languageEnglish (US)
Pages (from-to)455-456
Number of pages2
Issue number7
StatePublished - 1997


  • Acute headache
  • Migrainelike headache
  • Pituitary adenoma
  • Pituitary apoplexy
  • Pituitary hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)


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