TY - JOUR
T1 - Orbital myositis posing as cluster headache
AU - Lee, Michael S.
AU - Lessell, Simmons
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2002
Y1 - 2002
N2 - Objective: To describe the case of a patient with recurrent orbital myositis who was thought to have cluster headaches for 6 years. Design and Setting: Case report in an outpatient neuroophthalmology clinic. Patient: A 24-year-old man developed unilateral supraorbital pain, lacrimation, conjunctival hyperemia, nasal congestion, proptosis, and painful eye movements. The pain intensity varied over the course of each day and disappeared after 1 month. He had multiple attacks responsive to prednisone that were separated by months over the ensuing 6 years. Neuroimaging revealed an enlarged extraocular muscle. Conclusions: Overlap in symptoms between recurrent orbital myositis and cluster headache delayed the diagnosis in this patient. Orbital myositis should be considered in patients with atypical cluster headache characterized by proptosis, painful eye movements, and pain that does not completely resolve after 3 hours.
AB - Objective: To describe the case of a patient with recurrent orbital myositis who was thought to have cluster headaches for 6 years. Design and Setting: Case report in an outpatient neuroophthalmology clinic. Patient: A 24-year-old man developed unilateral supraorbital pain, lacrimation, conjunctival hyperemia, nasal congestion, proptosis, and painful eye movements. The pain intensity varied over the course of each day and disappeared after 1 month. He had multiple attacks responsive to prednisone that were separated by months over the ensuing 6 years. Neuroimaging revealed an enlarged extraocular muscle. Conclusions: Overlap in symptoms between recurrent orbital myositis and cluster headache delayed the diagnosis in this patient. Orbital myositis should be considered in patients with atypical cluster headache characterized by proptosis, painful eye movements, and pain that does not completely resolve after 3 hours.
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U2 - 10.1001/archneur.59.4.635
DO - 10.1001/archneur.59.4.635
M3 - Article
C2 - 11939900
AN - SCOPUS:0036216201
SN - 0003-9942
VL - 59
SP - 635
EP - 636
JO - Archives of Neurology
JF - Archives of Neurology
IS - 4
ER -