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[Blepharyplasty as treatment of chronic headache]

Abdullah Najib Maarouf1, Ole Kristian Lerche Helgestad

  • 1abdulnm@outlook.com.

Ugeskrift for Laeger
|June 14, 2021
PubMed

Insights

Hemicrania continua, a chronic headache, resolved completely in a patient after blepharoplasty surgery. This unexpected outcome suggests a potential link between eyelid surgery and headache relief in some cases.

Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Hemicrania continua (HC) is a primary chronic headache disorder.
  • HC is characterized by continuous unilateral headache with superimposed exacerbations and associated autonomic symptoms.

Observation:

  • A 29-year-old patient presented with unilateral sharp retro-orbital pain, consistent with HC.
  • The patient experienced discomfort and ptosis (hanging eyelids).

Findings:

  • The patient was initially treated with indomethacin for HC with good effect.
  • Following bilateral blepharoplasty for cosmetic reasons and discomfort, the patient's headache and associated pain resolved completely.

Implications:

  • This case suggests a potential, previously unreported, therapeutic effect of blepharoplasty on hemicrania continua.
  • Further investigation is warranted to explore the mechanism behind this resolution and its potential application in managing HC patients with specific anatomical features or comorbidities.

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