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Keywords:

  • cluster-like headache;
  • epidermoid cyst;
  • pontocerebellar angle;
  • mass effect;
  • trigeminal nerve;
  • facial nerve

Cluster-like headaches have been described as secondary to several intracranial lesions. We report the case of a 47-year-old man who presented with a throbbing periocular pain associated with lacrimation and red eye. A contralateral epidermoid cyst was detected in the magnetic resonance imaging.