Trigeminal autonomic cephalgia caused by recurrent posterior scleritis. Issue 6 (5th August 2016)

• Record Type: Journal Article
• Authors: Alim-Marvasti, Ali; Ho, Jason; Weatherall, Mark; Patel, Maneesh; George, Sheena; Viegas, Stuart
• Is Part Of: Practical neurology. Volume 16:Issue 6(2016)
• Page Start: 455
• Page End: 457
• Publication Date: 2016-08-05
• Subjects: NEUROOPHTHALMOLOGY -- HEADACHE -- STEROIDS -- NEURORADIOLOGY -- OPHTHALMOLOGY; Neurology -- Periodicals; 616.8005
• DOI: 10.1136/practneurol-2016-001433
• Languages: English
• ISSNs: 1474-7758

Abstract

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.