# Cervicogenic-Like Headache as the First Symptom of Acromegaly

## TL;DR

A young man experienced a cervicogenic-like headache as the first sign of acromegaly, which improved after surgery.

## Contribution

This is the first report of cervicogenic-like headache as an initial symptom of acromegaly.

## Key findings

- The patient had a four-year history of unilateral headaches before diagnosis.
- Headaches resolved after surgical removal of a pituitary tumor.
- Symptoms improved for six months post-surgery.

## Abstract

Headache is a frequent symptom in patients with acromegaly; however, it has never been described as a cervicogenic-like headache.

This paper reports on an 18-year-old Brazilian man with a four-year history of unilateral headaches characterized as a sensation of tightness or pressure in the right nuchal region spreading across the forehead. An MRI of the brain revealed a pituitary tumor and a transsphenoidal surgical resection of the macroadenoma was performed. During follow-up, he reported a complete relief of headaches after one week of surgery, persisting for six months. This paper shows a cervicogenic-like headache as the first symptom of acromegaly and the improvement of symptoms after surgery.