Sunrise-related headache: case report
Corresponding Author
UH Ulas
Gülhane Military Medical Academy, Neurology Department, Turkey, and
Umit Hidir Ulas, Gülhane Military Medical Academy, Neurology Department, Turkey. E-mail [email protected]Search for more papers by this authorA Korkmaz
Department of Cellular and Structural Biology, University of Texas Health Science Center, San Antonio, TX, USA
Search for more papers by this authorO Karadas
Gülhane Military Medical Academy, Neurology Department, Turkey, and
Search for more papers by this authorZ Odabasi
Gülhane Military Medical Academy, Neurology Department, Turkey, and
Search for more papers by this authorRJ Reiter
Department of Cellular and Structural Biology, University of Texas Health Science Center, San Antonio, TX, USA
Search for more papers by this authorCorresponding Author
UH Ulas
Gülhane Military Medical Academy, Neurology Department, Turkey, and
Umit Hidir Ulas, Gülhane Military Medical Academy, Neurology Department, Turkey. E-mail [email protected]Search for more papers by this authorA Korkmaz
Department of Cellular and Structural Biology, University of Texas Health Science Center, San Antonio, TX, USA
Search for more papers by this authorO Karadas
Gülhane Military Medical Academy, Neurology Department, Turkey, and
Search for more papers by this authorZ Odabasi
Gülhane Military Medical Academy, Neurology Department, Turkey, and
Search for more papers by this authorRJ Reiter
Department of Cellular and Structural Biology, University of Texas Health Science Center, San Antonio, TX, USA
Search for more papers by this authorAbstract
A male, 34 years of age, suffers from headaches, red and watery eyes. The headaches began in childhood; the frequency of headaches has increased over the years and in the last decade headaches have occurred on a daily basis. If he wakes up before sunrise he feels much better and free of a headache; however, once he continues to sleep during and after sunrise, he suffers from tiredness, headache and nervousness. On magnetic resonance imaging (MRI), benign neuroepithelial cysts or a chronic infarct area was reported at the junction of the left medio-lateral zone of hypothalamus. After repeated MRI examinations, it was decided that the lesion on the left medio-lateral zone of hypothalamus may have disrupted the pineal gland and changed melatonin secretion. It was decided to treat him with 3 mg melatonin daily before going to bed. After a week of treatment, the patient reported that he felt very fresh and was virtually free of headaches.
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