Evaluation of Oculocephalic Sympathetic Function in Vascular Headache Syndromes
Part I: Methods of Evaluation
Article first published online: 22 JUN 2005
Headache: The Journal of Head and Face Pain
Volume 22, Issue 5, pages 192–199, September 1982
How to Cite
Watson, C. and Vijayan, N. (1982), Evaluation of Oculocephalic Sympathetic Function in Vascular Headache Syndromes. Headache: The Journal of Head and Face Pain, 22: 192–199. doi: 10.1111/j.1526-4610.1982.hed2205192.x
- Issue published online: 22 JUN 2005
- Article first published online: 22 JUN 2005
- Accepted for Publication: August 10, 1981
- Cited By
Patients presenting with a unilateral ptosis and miosis offer a differential diagnostic challenge which ranges from “simple” anisocoria, a benign condition, through a variety of vascular headache syndromes, to life threatening diseases of the peripheral or central nervous system. The resolution of this dilemma often rests with the documentation of clinically questionable findings and the localization of the lesion along the oculocephalic sympathetic pathway.
In the first of our papers, we review simple bedside autonomic tests which can easily be used to document and localize lesions of the oculocephalic sympathetic pathway. We also briefly review the relevant neurotransmitter, neuroanatomical, and neurophysiological information necessary to accurately interpret the results of these tests.