Headache as the presenting manifestation of Gorlin-Goltz syndrome with diastematomyelia: A case report

Gorlin-Goltz syndrome is an autosomal dominant multisystemic disease with high penetrance. Headache heralding Gorlin-Goltz syndrome has been previously reported but without discussing potential sources. We report a patient with headache and a novel association (diastematomyelia), which helped with the diagnosis. A 46-year-old woman presented with persistent holocranial headache. On examination, countless hyperpigmented basal cell nevi over the face, pits over the palmar/plantar surface, and palmar and plantar keratosis were observed. A magnetic resonance imaging (MRI) of the spinal cord revealed diastematomyelia. Diagnosis of GGS was finally made. Headache and diastematomyelia should be included in the clinical picture of GGS.