Ocular and Orbital Pain for the Headache Specialist

Ringeisen, Alexander L.; Harrison, Andrew R.; Lee, Michael S.

doi:10.1007/s11910-010-0167-6

Cited by 16 publications

(14 citation statements)

References 22 publications

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“… (b) Acute orbital pain with headache or without headache It should be evaluated very carefully as there are many underlying serious pathologies. The patients with orbital pain should be examined carefully for ocular palsy, eyelid abnormality (swelling, drooping), conjunctival injection (red eye), visual disturbances, and pain on eye movement [ 24 , 25 ]. (i) Orbital pain in association with ocular motor nerve palsies It is the clinical hallmark of the painful ophthalmoplegia syndrome.…”

Section: Diagnostic Approach For Side-locked Headachesmentioning

confidence: 99%

Side-locked headaches: an algorithm-based approach

Prakash

Rathore

2016

J Headache Pain

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The differential diagnosis of strictly unilateral hemicranial pain includes a large number of primary and secondary headaches and cranial neuropathies. It may arise from both intracranial and extracranial structures such as cranium, neck, vessels, eyes, ears, nose, sinuses, teeth, mouth, and the other facial or cervical structure. Available data suggest that about two-third patients with side-locked headache visiting neurology or headache clinics have primary headaches. Other one-third will have either secondary headaches or neuralgias. Many of these hemicranial pain syndromes have overlapping presentations. Primary headache disorders may spread to involve the face and / or neck. Even various intracranial and extracranial pathologies may have similar overlapping presentations. Patients may present to a variety of clinicians, including headache experts, dentists, otolaryngologists, ophthalmologist, psychiatrists, and physiotherapists. Unfortunately, there is not uniform approach for such patients and diagnostic ambiguity is frequently encountered in clinical practice.Herein, we review the differential diagnoses of side-locked headaches and provide an algorithm based approach for patients presenting with side-locked headaches. Side-locked headache is itself a red flag. So, the first priority should be to rule out secondary headaches. A comprehensive history and thorough examinations will help one to formulate an algorithm to rule out or confirm secondary side-locked headaches. The diagnoses of most secondary side-locked headaches are largely investigations dependent. Therefore, each suspected secondary headache should be subjected for appropriate investigations or referral. The diagnostic approach of primary side-locked headache starts once one rule out all the possible secondary headaches. We have discussed an algorithmic approach for both secondary and primary side-locked headaches.

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Section: Diagnostic Approach For Side-locked Headachesmentioning

confidence: 99%

Side-locked headaches: an algorithm-based approach

Prakash

Rathore

2016

J Headache Pain

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“…In PACG exactly the opposite happens when the peripheral iris blocks normal aqueous humor flow [110] which lead to increased intraocular pressure and optic nerve damage. Symptomatically glaucoma is characterized by a sudden and painful loss of vision [111], blurred vision and rainbows around lights accompanied with nausea and vomiting [112].…”

Section: Glaucoma and Pathologymentioning

confidence: 99%

A Mini Review on the Protective Effect of Lignans for the Treatment of Neurodegenerative Disorders

2019

NFLS

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Nature is a rich source of numerous bioactive compounds that are categorized as secondary metabolites. Lignans are group of such compounds, generally called phytoestrogens widely present in many plants and vegetables, grains, seeds, nuts and tea. They have been used as folk medicine for the treatment of several clinical conditions like asthma, cardiovascular diseases, arthrosclerosis, colitis and many more. Structurally, lignans are characterized by two phenylpropane groups attached by a carbon bond. They have been divided in to several types on the basis of structure of their carbon skeleton, the way of cyclization and oxygen incorporation in the skeleton. Lignans from numerous plant species such as Kadsura

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“…As eyes are extension of the nervous system, ocular pain may coexist with headache or many causes of pain may result from eye itself or structures around the eye [4,5]. Migraine hemicrania continua and tension headache also lead to facial and ocular pain [6].…”

Section: Introductionmentioning

confidence: 99%

Relation between Smartphone Use and Unilateral Ocular Pain and Headache

Kıvanç¹,

Budak²,

Ulusoy³

et al. 2017

Current Perspectives on Less-Known Aspects of Headache

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Ocular pain and headache may stem from many causes, ranging from infections and inflammations to radiating pain. Nowadays, use of smartphones may be an emerging cause of unilateral ocular pain and headache, especially in young population. In this study, we implemented a survey and examined the eyes of patients who used smartphones with 20/20 vision. The patients with normal neurologic and ear-nose-throat (ENT) examination findings comprised the study group. The age, duration of smartphone use, ocular examination findings, and results of ocular surface disease index (OSDI) were recorded. An association between smartphone use and ocular pain/headache was found. Spherical equivalent values of the patients with headache or ocular pain were significantly lower than those who had no pain. The OSDI scores of patients with ocular pain were significantly higher than others without ocular pain. Adverse effects of smartphone use on ocular surface and over accommodation induced by near vision may have an effect on the occurrence of ocular pain and headache.

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Ocular and Orbital Pain for the Headache Specialist

Cited by 16 publications

References 22 publications

Side-locked headaches: an algorithm-based approach

Side-locked headaches: an algorithm-based approach

A Mini Review on the Protective Effect of Lignans for the Treatment of Neurodegenerative Disorders

Relation between Smartphone Use and Unilateral Ocular Pain and Headache

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