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A pain in the eye.

Karen R Armbrust1, Gregory S Kosmorsky2, Michael S Lee3

  • 1Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota.

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|May 20, 2014
PubMed
Summary
This summary is machine-generated.

Chronic eye pain in a woman was linked to the greater occipital nerve. Blocking this nerve successfully relieved her cervicogenic headache and associated photophobia.

Keywords:
cervicogenic headacheeye paingreater occipital nerveheadacheoccipital nervetrigeminal nerve

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Area of Science:

  • Neurology
  • Pain Medicine
  • Ophthalmology

Background:

  • Cervicogenic headache can manifest with diverse symptoms, including ocular pain.
  • The greater occipital nerve (GON) is a key sensory pathway in the posterior head.

Observation:

  • A 38-year-old woman experienced chronic left retro-orbital pain and photophobia.
  • Tenderness over the left occipital prominence, specifically near the GON, reproduced her eye pain upon palpation.

Findings:

  • Cervicogenic headache diagnosis was confirmed by symptom resolution after a left greater occipital nerve blockade.
  • This intervention effectively alleviated the patient's retro-orbital pain and photophobia.

Implications:

  • The greater occipital nerve may play a direct role in cervicogenic eye pain.
  • Understanding the functional association between the GON and trigeminal nerve offers insights into headache mechanisms.