Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases

Trigeminal autonomic cephalgias (TACs) are the most common group of cephalgias with ocular symptoms and can be subdivided into cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks and hemicrania continua. The diagnostic criterion at least one of the followi...

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Main Authors: V. V. Biloshytsky, V. A. Vasyuta, M. V. Biloshytska
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2021-04-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2021/2/11-fulltext
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author V. V. Biloshytsky
V. A. Vasyuta
M. V. Biloshytska
author_facet V. V. Biloshytsky
V. A. Vasyuta
M. V. Biloshytska
author_sort V. V. Biloshytsky
collection DOAJ
description Trigeminal autonomic cephalgias (TACs) are the most common group of cephalgias with ocular symptoms and can be subdivided into cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks and hemicrania continua. The diagnostic criterion at least one of the following autonomic symptoms or signs, ipsilateral to the headache: conjunctival injection and/or lacrimation; nasal congestion and/or rhinorrhoea; eyelid edema; forehead and facial sweating; forehead and facial flushing; sensation of fullness in the ear; and miosis and/or ptosis. Symptoms of sympathetic blockade (ptosis, myosis, Horner’s syndrome) may be present. Another characteristic that TACs share is periorbital or retroorbital location of headache pain. The cases of TACs reported demonstrate potential diagnostic pitfalls and patterns of ocular symptoms and treatment of these diseases. These patients not uncommonly present to ophthalmologists. Paying close attention to autonomic symptoms during history collection and meticulous elucidation of headache characteristics will facilitate a diagnosis and first-line treatment decisions.
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spelling doaj.art-738e6bd4fce24d79bb571443f0d3a5d22023-10-19T11:10:45ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402021-04-012646810.31288/oftalmolzh202126468Ocular manifestations of trigeminal autonomic cephalgias: analysis of casesV. V. Biloshytsky0V. A. Vasyuta1M. V. Biloshytska2SI "Romodanov Neurosurgery Institute, National Academy of Medical Sciences of Ukraine"SI "Romodanov Neurosurgery Institute, National Academy of Medical Sciences of Ukraine"SI "Romodanov Neurosurgery Institute, National Academy of Medical Sciences of Ukraine"Trigeminal autonomic cephalgias (TACs) are the most common group of cephalgias with ocular symptoms and can be subdivided into cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks and hemicrania continua. The diagnostic criterion at least one of the following autonomic symptoms or signs, ipsilateral to the headache: conjunctival injection and/or lacrimation; nasal congestion and/or rhinorrhoea; eyelid edema; forehead and facial sweating; forehead and facial flushing; sensation of fullness in the ear; and miosis and/or ptosis. Symptoms of sympathetic blockade (ptosis, myosis, Horner’s syndrome) may be present. Another characteristic that TACs share is periorbital or retroorbital location of headache pain. The cases of TACs reported demonstrate potential diagnostic pitfalls and patterns of ocular symptoms and treatment of these diseases. These patients not uncommonly present to ophthalmologists. Paying close attention to autonomic symptoms during history collection and meticulous elucidation of headache characteristics will facilitate a diagnosis and first-line treatment decisions.https://www.ozhurnal.com/en/archive/2021/2/11-fulltextcephalgiadiagnostic criteriaautonomic symptomsophthalmalgia
spellingShingle V. V. Biloshytsky
V. A. Vasyuta
M. V. Biloshytska
Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases
Journal of Ophthalmology
cephalgia
diagnostic criteria
autonomic symptoms
ophthalmalgia
title Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases
title_full Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases
title_fullStr Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases
title_full_unstemmed Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases
title_short Ocular manifestations of trigeminal autonomic cephalgias: analysis of cases
title_sort ocular manifestations of trigeminal autonomic cephalgias analysis of cases
topic cephalgia
diagnostic criteria
autonomic symptoms
ophthalmalgia
url https://www.ozhurnal.com/en/archive/2021/2/11-fulltext
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