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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Primary trochlear headache. A periorbital pain with a specific diagnosis and tre...
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Vol. 95. Issue 3.
Pages 150-152 (March 2020)
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Vol. 95. Issue 3.
Pages 150-152 (March 2020)
Short communication
Primary trochlear headache. A periorbital pain with a specific diagnosis and treatment
Cefalea troclear primaria. Un dolor periorbitario con diagnóstico y tratamiento específicos
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P. Sánchez Ruiza,
Corresponding author
prado_sanchez_ruiz@hotmail.com

Corresponding author.
, C. Martín Villaescusab, A. Duat Rodrígueza, V. Cantarín Extremeraa, M.L. Ruiz-Falcó Rojasa
a Servicio de Neurología: Hospital Infantil Niño Jesús, Madrid, Spain
b Servicio de Oftalmología. Hospital Infantil Niño Jesús, Madrid, Spain
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Abstract

Primary trochlear headache is a little-known cause of periorbital headache described in adults. It can involve very disabling pain. In addition, it can be associated with other types of headaches, making them even more difficult to identify. To diagnose this pathology, it is necessary that the examination of the trochlea be incorporated into the usual clinical practice of the patient with headache, which will allow the establishment of an adequate treatment.

The case is presented of an adolescent patient with a diagnosis of migraine, who was admitted with a disabling headache secondary to a primary trochlear headache.

Keywords:
Migraine
Orbital pain
Steroid injection
Trochlear headache.
Resumen

La cefalea troclear primaria es una causa de cefalea periorbitaria descrita en adultos, poco conocida. Esta entidad puede dar lugar a un dolor muy invalidante. Además, puede asociarse a otro tipo de cefaleas, dificultando aún más su identificación. Para diagnosticar esta patología es necesario que la exploración de la tróclea sea incorporada en la práctica clínica habitual del paciente con cefalea, lo cual permitirá poder establecer un tratamiento adecuado.

Se presenta el caso de una paciente adolescente con diagnóstico de migraña que ingresó por un cuadro de cefalea invalidante secundaria a una cefalea troclear primaria.

Palabras clave:
Migraña
Dolor orbitario
Inyección de esteroides
Cefalea troclear.

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