From the Headache Center of Rio, Rio de Janeiro, Brazil (Dr. Krymchantowski); Outpatient Headache Unit, Instituto de Neurologia Deolindo Couto, Rio de Janeiro, Brazil (Drs. Krymchantowski and Oliveira); Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA (Dr. Bigal); and The New England Center for Headache, Stamford, CT, USA (Dr. Bigal).
Side-Locked Headache as the Chief Complaint of Inflammatory Orbital Pseudotumor (Myositic Form): A Case Report
Version of Record online: 3 SEP 2009
Headache: The Journal of Head and Face Pain
Volume 46, Issue 4, pages 683–686, April 2006
How to Cite
Krymchantowski, A. V., Oliveira, T. and Bigal, M. E. (2006), Side-Locked Headache as the Chief Complaint of Inflammatory Orbital Pseudotumor (Myositic Form): A Case Report. Headache: The Journal of Head and Face Pain, 46: 683–686. doi: 10.1111/j.1526-4610.2006.00417.x
- Issue online: 3 SEP 2009
- Version of Record online: 3 SEP 2009
- Accepted for publication January 10, 2005.
- inflammatory orbital pseudotumor;
- myositic form
The case of a 38-year-old woman with continuous unilateral side-locked headache is reported. She had continuous right-sided periorbital pain of mild to moderate intensity for the past 5 months. She also reported a few episodes of pain exacerbations every day. She had no autonomic features. Based on a normal CT scan ordered by her general physician, we started indomethacin (150 mg/day) as well as celecoxib (400 mg/day) for 2 weeks, without relief. Oral prednisone for 6 days provided important relief, and she stayed on daily use of steroids, refusing other forms of therapy. After 5 months she developed orbital and eyelid edema, with painful restrictions to eye movement. Orbital MRI and pathological exam demonstrated inflammatory orbital pseudotumor (myositic form).