A 50-year-old female patient with severe unilateral pain in the right eye, head, and face accompanied by lacrimation and drooping of the right eye and rhinorrhea from the right nose, which developed immediately after extraction of the maxillary right first and second molars, was successfully treated with oral administration of sumatriptan and prednisolone, or verapamile. Although the clinical characteristics are similar to those reported in cluster headache except the temporal feature, the probable cluster headache, the hemicrania continua and the acute migraine headache should be included in the list of differential diagnoses. In this report, we present a patient who developed cluster headache-like facial pain after the extraction of ipsilateral molars, which was responsive to combination therapy of sumatriptan and prednisolone, or verapamile.
CASE REPORTA 50-year-old female patient was sent from a local dental clinic to the Department of Oral Medicine, Kyungpook National University Hospital. The patient has had severe excruciating pain in the right eye and the right ear and severe pricking, stabbing, or aching pain in the right side of the face, the head, and the neck. The pain was quite continuous, not remitting all through the day, so the patient appeared anxious, restless, and agitated during initial examination. She also complained that the pain was accompanied by lacrimation and drooping eyelid of the right eye,