Trochleitis and migraine headache
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Published on: June 2, 2014
Julio Yangüela1, Juan A Pareja, Nicolas Lopez
1Department of Ophthalmology, Fundación Hospital Alcorcón, Juan Carlos I University, Madrid, Spain. jyanguela@fhalcorcon.es
Abstract:
Idiopathic trochleitis is a cause of superimposed ocular pain in patients with migraine. Trochleitis usually presents as an orbital pain without obvious ocular signs. Like greater occipital neuralgia, trochleitis may sustain or trigger the pain of chronic migraine. Diagnosis is confirmed by peritrochlear steroid injection, which produces a quick relief of periocular symptoms and may improve headache control.
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