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Cluster headache associated with a sixth nerve palsy: a case report.
Brian M Grosberg1, Sarah Vollbracht, Matthew S Robbins
1Albert Einstein College of Medicine, Montefiore Headache Center, 1575 Blondell Avenue, Bronx, NY 10461, USA. bgrosber@montefiore.org
Cluster headache, a severe unilateral head pain disorder, rarely involves ocular movement issues. This study presents a new case of cluster headache with ophthalmoparesis, exploring its potential causes.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Cluster headache is a rare primary headache disorder.
- Characterized by severe, unilateral head pain and autonomic symptoms.
Observation:
- Ophthalmic features like conjunctival injection, lacrimation, ptosis, and miosis are common in cluster headache.
- Ocular movement disorders are infrequent in cluster headache patients.
Findings:
- This report details an additional case of cluster headache associated with external ocular movement disorders (ophthalmoparesis).
- Only two prior cases of cluster headache with such ocular findings have been documented.
Implications:
- This case contributes to understanding the rare association between cluster headache and ophthalmoparesis.
- Further research into the pathophysiology of cluster headache with ocular movement disorders is warranted.
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