Trigeminal autonomic cephalgia caused by recurrent posterior scleritis.

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Abstract

A 40-year-old woman presented with a side-locked headache with autonomic features, which then switched sides before reverting to the original side. The atypical features of side swapping, partial response to indometacin and abnormal optic disc appearances ultimately led to a diagnosis of recurrent posterior scleritis. We discuss the differential diagnosis of trigeminal autonomic cephalgias and its secondary causes, and provide practical pointers for its investigation and management.

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Author and article information

Journal

Journal ID (iso-abbrev): Pract Neurol

Title: Practical neurology

Publisher: BMJ

ISSN (Electronic): 1474-7766

ISSN (Print): 1474-7758

Publication date (Electronic): Dec 2016

Volume: 16

Issue: 6

Affiliations

[1 ] Department of Neurology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.

[2 ] Department of Ophthalmology, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, Hillingdon, UK.

[3 ] Department of Neuroradiology, Imperial College Healthcare NHS Trust, London, UK.

Article

Publisher Item ID: practneurol-2016-001433

DOI: 10.1136/practneurol-2016-001433

PubMed ID: 27495133

SO-VID: b5bb7de5-61f5-4cb9-b1ce-aef3a3d4b4b0

History

Keywords: HEADACHE,STEROIDS,OPHTHALMOLOGY,NEURORADIOLOGY,NEUROOPHTHALMOLOGY

Data availability:

Keywords: HEADACHE, STEROIDS, OPHTHALMOLOGY, NEURORADIOLOGY, NEUROOPHTHALMOLOGY

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