Possible Causes for bitemporal headache Tension Headache Description: Infrequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting minutes to days. The pain does not worsen with routine physical activity and is not associated with nausea, although photophobia or phonophobia may be present. Diagnostic[…] [ichd-3.org] Temporal Arteritis We herein describe a rare case of temporal arteritis associated with hypertrophic pachymeningitis. An 81-year-old man presented with a right temporal headache that had persisted for one month. A right superficial temporal artery biopsy revealed intimal hypertrophy with increased elastic fibers, consistent with[…] [ncbi.nlm.nih.gov] Empty Sella Syndrome Headache varies widely by location and extent - from mild, periodical, to unbearable, almost permanent. [iliveok.com] Decrease in visual acuity, generalized by narrowing of its peripheral fields, bitemporal hemianopsia are possible. [iliveok.com] Acute Mountain Sickness It is characterized by sudden onset of a bitemporal headache, nausea, fatigue, dizziness and can be life-threatening with the development of cerebral or pulmonary edema. [symptoma.com] Rheumatoid Arteritis 抄録 A 57-year-old Japanese woman with well controlled rheumatoid arthritis visited our hospital with a severe bitemporal headache and marked fatigue. [jstage.jst.go.jp] He initially presented with bitemporal headache, recurrent left amaurosis fugax and bilateral shoulder girdle pain. The left TA was tender. [rheumatology.oxfordjournals.org] Patient 1 was a 57-year-old male who presented initially with bitemporal headache, recurrent amaurosis fugax, bilateral shoulder girdle pain and weight loss of 12 kg. [rheumatology.oxfordjournals.org] Hypoglycemia Anxieties are common as are frontal or bitemporal headaches, dizziness and faintness. [fibromyalgiatreatment.com] Pituicytoma A 64-year-old man presented with progressive visual complaints, bitemporal hemianopsia, and headache. [ncbi.nlm.nih.gov] The present patient had mild hyperprolactinemia, with the other pituitary hormones being normal, associated with persistent headache and bitemporal hemianopia. [surgicalneurologyint.com] The most common clinical presentation was headache and bitemporal hemianopsia due to compression of the optic chiasm.[ 11 ] Other signs frequently observed are pan-hypopituitarism [surgicalneurologyint.com] Polycystic Ovary Syndrome A 20-year-old obese woman developed menstrual cycle irregularities since age 14 years, initially bitemporal and latter diffuse headache since age 14 years, and bilateral visual [ncbi.nlm.nih.gov] Endocrine Dysfunction (60%), bitemporal hemianopsia, and cranial nerve palsies can result from somatotroph adenoma/macroadenomas 55 Androgen deficiency Decreased muscle mass, increased body fat [now.aapmr.org] […] symmetric sensorimotor polyneuropathy on electrodiagnostics 55 CVS/MSK: cardiomegaly, enlarged distal structures (hands, feet), arthritis with hypermobility, sleep apnea 55 Headaches [now.aapmr.org] Migraine In children aged 5-10 years, migraine typically has the following features: Bifrontal, bitemporal, or retro-orbital headache Nausea Abdominal cramping Vomiting Photophobia [emedicine.com] or retro-orbital headache; nausea; abdominal cramping; vomiting; photophobia; phonophobia; a need to sleep; migraine facies; tearing, swollen nasal passages; thirst; edema [emedicine.com] […] need to go to sleep; they may exhibit pain by irritability, crying, rocking, or seeking a dark room in which to sleep Children aged 5-10 years typically have bifrontal, bitemporal [emedicine.com] Strabismus Symptoms found include headaches (bitemporal or occipital), the inability to close the eyes or mouth, and may cause the reduction of taste.[2][3] Few cases of bilateral facial [en.wikipedia.org] Adenoma headache, bitemporal hemianopsia, diplopia) Hypopituitarism Mass effects (e.g., headache, bitemporal hemianopsia, diplopia) References:[4] Diagnostics Cranial contrast [amboss.com] […] and restricted vision caused by disruption of the visual field (bitemporal hemianopia). [ims.uniklinik-freiburg.de] […] colors • Headache Pituitary apoplexy can be a severe result of any type of pituitary adenoma. [texasspineandneurosurgerycenter.com] Acute Myocarditis She had also had 3 months of fatigue, weight loss, polymyalgia, a bitemporal headache, and jaw claudication. Examination revealed tender temporal arteries. [jrheum.org] Suprasellar Tumor […] pain according to the size and direction of expansion: Headaches: are classically retro-orbital or bitemporal. [patient.info] Operation A year later, the patient presented to the emergency department with worsening frontal headaches, drowsiness, and bitemporal hemianopia. [thejns.org] […] and suprasellar ND Hyponatremia, bitemporal hemianopsia Transsphenoidal 9 Honegger, 3) 2005 79 F Intrasellar and suprasellar ND Syncope, headache, fatigue, left temporal [ncbi.nlm.nih.gov] Cerebral Neoplasm VISUAL FIELD PATHWAYS 74. bitemporal hemianopsia 75. IPSILATERAL BLINDNESS 76. contralateral homonymous hemianopsia 77. [slideshare.net] […] without increased intracranial pressure, bitemporal hemianopia Craniopharyngioma Pituitary adenoma Pituitary carcinoma (rare) Temporal lobe Complex partial seizures, generalized [merckmanuals.com] […] abnormality: bitemporal hemianopsiais the most common Papilledema is rare May enlarge with pregnancy 5% of pituitary adenoma present with pituitaryapoplexy 72. [slideshare.net] Hypertensive Encephalopathy A 34-year-old man, previously in good health with no past history of hypertension, presented with a 2-day history of bitemporal headaches and a sudden onset of left-sided [circ.ahajournals.org] Calciphylaxis Two months later, the patient reported new-onset intermittent bitemporal headache and bilateral swollen, tender temporal arteries. [ncbi.nlm.nih.gov] Ovarian Adenoma No/no 55 Transient DI Euhormonal 2 67, F GH Hypogonadotropic hypogonadism Bitemporal hemianopia Yes/no 37 Transient SIADH Euhormonal ACTH-secreting adenoma 9 36, F ACTH [thejns.org] Headache Patients with macroadenomas often have frontal, forehead and temporal area headaches. Pituitary adenoma removal often results in headache resolution. [pacificneuroscienceinstitute.org] Euhormonal Incidental MRI finding No/no 15 Self-limited, mild SIADH Euhormonal 1 39, F LH, FSH, rare TSH Elevated alpha subunit, mild hyperprolactinemia Seizure, headache [thejns.org] Somatotrophic Pituitary Adenoma […] pain according to the size and direction of expansion: Headaches: are classically retro-orbital or bitemporal. [patient.info] Other symptoms resulting from the mass effect include impairment of visual acuity and field defects (typically bitemporal hemianopia), headaches, and, more rarely, third, [pituitaryadenomas.com] Pituitary adenoma General Clinical: [10] Classically: visual field defects (bitemporal hemianopsia). [librepathology.org] Paranoid Personality Disorder His headaches gradually improved during hospitalization. His blood counts slowly increased after 6-MP was discontinued. [surgicalneurologyint.com] His visual acuity improved to 20/40 right eye and 20/40 left eye with a central bitemporal field loss; papilledema was reduced to 2-3 OD, 2 OS; and confrontation to visual [surgicalneurologyint.com] Papillary Thyroid Carcinoma His headaches gradually improved during hospitalization. His blood counts slowly increased after 6-MP was discontinued. [surgicalneurologyint.com] His visual acuity improved to 20/40 right eye and 20/40 left eye with a central bitemporal field loss; papilledema was reduced to 2-3 OD, 2 OS; and confrontation to visual [surgicalneurologyint.com] Chronic Daily Headaches Where such differentiation proves difficult, the term ‘tension-vascular headache’ may be acceptable. Table 2. [racgp.org.au] Differentiating between TTH and migraine TTH Migraine Nature of pain Tight gripping pressure, constant Throbbing, pulsating Site of pain Bitemporal, occipital or generalised [racgp.org.au] Autoimmune Hypophysitis Both LAH and LINH may also lead to symptoms of an intracranial mass such as headache or disturbance of vision, i.e. bitemporal hemianopia. [en.wikipedia.org] A 31-year-old woman was admitted to the hospital with a severe headache and bitemporal hemianopsia. [kjim.org] The most common presenting symptom of the condition is headache, which can be retro-orbital or bitemporal. [healio.com] Sinus Bradycardia and bitemporal heteronymous hemianopsia starting five months before. [elsevier.es] […] no personal or familial pathological history who was referred to the endocrinology unit for physiognomic changes over the previous seven years, highly severe holocranial headache [elsevier.es] Basophil Adenoma […] pain according to the size and direction of expansion: Headaches: are classically retro-orbital or bitemporal. [patient.info] Symptoms and Signs Headache may result from an enlarging pituitary adenoma, even when intracranial pressure is not increased. [merckmanuals.com] Sudden catastrophic headaches may result from pituitary apoplexy. [patient.info] Pituitary Adenoma Clinical Manifestations Mass effect: Headache Visual Defects: Bitemporal hemianopia (due to compression of optic chiasm). 5. [slideshare.net] On examination she was found to have visual field defect in the pattern of bitemporal hemi-anopsia. [omicsonline.org] A 53-YEAR-OLD MAN had a 1-month history of headaches, lethargy, decreased libido, and increased thirst. [doi.org] IgG4-Related Retroperitoneal Fibrosis Pituitary involvement may cause hormone disorders and expansive complications such as headache and bitemporal hemianopsia ( 7 ). [tidsskriftet.no] Cerebral affection is unusual, but diffuse thickening of the meninges (hypertrophic pachymeningitis) has been described and may give rise to symptoms such as headache, radiculopathy [tidsskriftet.no] Pleomorphic Xanthoastrocytoma Craniopharyngioma [32][33][34][9] / Bitemporal hemianopia Hypopituitarism as a result of pressure effect on pituitary gland Calcification Lobulated contour Motor-oil like [wikidoc.org] Usually found in 4th ventricle Mixed cystic/solid lesion Hydrocephalus Ependymal cell origin Perivascular pseudorosette Biopsy Causes an unusually persistent, continuous headache [wikidoc.org] Pancreatoblastoma Mass effects include visual field defects known as bitemporal hemianopsia. Visual field defects may also occur unilaterally. [ncbi.nlm.nih.gov] Patients may also present with headaches, secondary to the mass lesions. See table 2 below. It summarises the clinical features of pituitary hormone deficiencies. [ncbi.nlm.nih.gov] Papilledema The patient reported an approximate two-week history of what she described as a throbbing bitemporal headache. [ncbi.nlm.nih.gov] His headaches gradually improved during hospitalization. His blood counts slowly increased after 6-MP was discontinued. [surgicalneurologyint.com] CASE REPORT A 27-year-old African-American female with a past medical history of obesity (body mass index: 39) presented to the emergency department (ED) with complaints of headache [ncbi.nlm.nih.gov]
