From The Manchester Royal Eye Hospital, Manchester, UK (Mr. Vishwanath); and The Royal Oldham Hospital, Oldham, UK (Mrs. Jain, Carley).
Chronic Paroxysmal Hemicrania Presenting as Recurrent Orbital Inflammation
Article first published online: 3 SEP 2009
Headache: The Journal of Head and Face Pain
Volume 46, Issue 4, pages 686–687, April 2006
How to Cite
Vishwanath, M. R., Jain, A. and Carley, F. (2006), Chronic Paroxysmal Hemicrania Presenting as Recurrent Orbital Inflammation. Headache: The Journal of Head and Face Pain, 46: 686–687. doi: 10.1111/j.1526-4610.2006.00418.x
- Issue published online: 3 SEP 2009
- Article first published online: 3 SEP 2009
- Accepted for publication December 12, 2005.
- chronic paroxysmal hemicrania;
- cluster headache;
- orbital inflammation
Patients with chronic headache associated with ocular symptoms regularly seek ophthalmologists' opinions. We report an unusual case of chronic paroxysmal hemicrania (CPH), a rare but well-described variant of cluster headache in a female presenting to an eye department with recurrent episodes of severe unilateral periorbital swelling with a chronic history of headaches. Clinical features, review of literature, and therapeutic response to indomethacin helped to establish the diagnosis as CPH. This is the first report of severe orbital inflammation with CPH to our knowledge.