Primary trochlear headache. A periorbital pain with a specific diagnosis and treatment

Primary trochlear headache is a little-known cause of periorbital headache described in adults. It can involve very disabling pain. In addition, it can be associated with other types of headaches, making them even more difficult to identify. To diagnose this pathology, it is necessary that the exami...

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Bibliographic Details
Published in:Archivos de la Sociedad Española de Oftalmología (English ed.) 2020-03, Vol.95 (3), p.150-152
Main Authors: Sánchez Ruiz, P., Martín Villaescusa, C., Duat Rodríguez, A., Cantarín Extremera, V., Ruiz-Falcó Rojas, M.L.
Format: Article
Language:English
Subjects:
Adolescent
Cefalea troclear
Dolor orbitario
Female
Headache - diagnosis
Headache - drug therapy
Humans
Inyección de esteroides
Migraine
Migraine Disorders - diagnosis
Migraine Disorders - drug therapy
Migraña
Orbital pain
Steroid injection
Trochlear headache
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Description
Summary:Primary trochlear headache is a little-known cause of periorbital headache described in adults. It can involve very disabling pain. In addition, it can be associated with other types of headaches, making them even more difficult to identify. To diagnose this pathology, it is necessary that the examination of the trochlea be incorporated into the usual clinical practice of the patient with headache, which will allow the establishment of an adequate treatment. The case is presented of an adolescent patient with a diagnosis of migraine, who was admitted with a disabling headache secondary to a primary trochlear headache. La cefalea troclear primaria es una causa de cefalea periorbitaria descrita en adultos, poco conocida. Esta entidad puede dar lugar a un dolor muy invalidante. Además, puede asociarse a otro tipo de cefaleas, dificultando aún más su identificación. Para diagnosticar esta patología es necesario que la exploración de la tróclea sea incorporada en la práctica clínica habitual del paciente con cefalea, lo cual permitirá poder establecer un tratamiento adecuado. Se presenta el caso de una paciente adolescente con diagnóstico de migraña que ingresó por un cuadro de cefalea invalidante secundaria a una cefalea troclear primaria.
ISSN:2173-5794
2173-5794
DOI:10.1016/j.oftale.2019.08.002