P.130 Secondary trigeminal autonomic cephalgia due to pituitary adenomas: systematic search of the literature and case illustration

Background: Trigeminal autonomic cephalgias (TAC) have been implicated in a multitude of intracranial mass lesions, including pituitary adenomas. Treatment the associated adenoma has reported to result resolution secondary TAC. Methods: We conducted systematic search literature accordance with PRISMA guidelines using Ovid Medline, Pubmed, Scopus, and Web Science for TACs lesions. searched all relevant cases detail epidemiology, clinical phenotype TAC, characteristics lesion its hormonal profile, type intervention, outcome. Results: Together our case, 50 are reviewed. Prolactinomas were most common hormone-producing adenomas (n=35; 71%). Few non-functioning (n=3; 6%). Macroadenomas predominant (n=30, 70%). Cavernous sinus extension was frequent (n=21; 54%). Medical intervention employed form (n=31; 63%). Surgical carried several (n=18; 37%). The success rate medical management high (n=25/31; 81%). Dopaminergic agonist therapy (n=28; 90%). Conclusions: Secondary tend debilitating symptoms. pathophysiology association is not entirely clear. Identifying cause employing proper important avoid unnecessary suffering.