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Abstract Details

Minotaur Syndrome as a difficult to treat headache: prospects for diagnosis and treatment.
Headache
P16 - Poster Session 16 (5:30 PM-6:30 PM)
7-004
To describe the complexity of diagnosis and treatment of patient with minotaur syndrome in four cases with difficult to treat headache.
The difficult to treat headache can be of multiple etiologies. Rare cases secondary to temporal muscle hypertrophy (minotaur syndrome), which can be secondary, reactive or idiopathic in nature, have been reported.
Cases will be discussed. All patients signed an IC and were described without identifiers.
We reported four cases of patients with chronic daily headache associated with bilateral hypertrophy of the temporal muscle, of them 50% have migraine and the others type-tensional headache, the patients with migraine were associated with dysautonomic features like facial oedema and syncope. As comorbidities 75% presented with bruxism and 50% anxiety. Two patients were performed temporal muscle biopsy reported like hypertrophy without muscle disease and other diseases were rule out. All patients received multiple oral treatment with poor response, one of them currently under treatment with botulinum toxin.

Minotaur syndrome consists of bilateral hypertrophy of the temporal muscle, which results in harsh facial appearance and is associated with morphopsychological conflict for the subject involved. It is a diagnosis that is established by discard and could include biopsy in some cases. As observable with our patients, the minotaur syndrome is a phenotypic characteristic of daily chronic headache that implies difficult to treat headache. According to the literature, cases of therapeutic success with botulinum toxin and surgery have been reported.
Authors/Disclosures
Rogelio Dominguez-Moreno, MD (Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran)
PRESENTER 		Dr. Dominguez-Moreno has nothing to disclose.
No disclosure on file
No disclosure on file
Erwin Chiquete, MD, PhD No disclosure on file