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Updated: Mar 16, 2026

Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Trigeminal autonomic cephalgia caused by recurrent posterior scleritis
Ali Alim-Marvasti1, Jason Ho2, Mark Weatherall1
1Department of Neurology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.
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.
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