A rather inadequate paper - especially as it is mostly inaccessible. (There was a bit more to see in a pre-publication PDF - might or might not still be available.) An awful lot of us would agree with Clinicians should consider routinely obtaining serum thyroid-stimulating hormone (TSH) and free T4 in patients .... - often regardless of what words follow that!
Have posted because we do see a lot of people reporting headaches - or changes to headache types and occurrence patterns.
Headache. 2016 Dec 27. doi: 10.1111/head.13011. [Epub ahead of print]
New Daily Persistent Headache Caused by a Multinodular Goiter and Headaches Associated With Thyroid Disease.
Evans RW1, Timm JS2.
1Department of Neurology, Baylor College of Medicine, 1200 Binz #1370, Houston, TX, USA.
2Neuroradiology Private Practice.
A 33-year-old female is presented with the first case to our knowledge of new daily persistent headache (NDPH) with a large right benign non-toxic multinodular goiter causing carotid and vertebral compression with complete resolution of the headache immediately after thyroidectomy. Although this may be quite rare, hypothyroidism or hyperthyroidism causing NDPH, migraine, or an exacerbation of pre-existing migraine is not. Clinicians should consider routinely obtaining serum thyroid-stimulating hormone (TSH) and free T4 in patients with new onset frequent headaches or an exacerbation of prior primary headaches.
© 2016 American Headache Society.
goiter; headache attributed to hypothyroidism; hyperthyroidism; migraine; new daily persistent headache
[PubMed - as supplied by publisher]