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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Format: | Article |
Language: | English |
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Ukrainian Society of Ophthalmologists
2021-04-01
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Series: | Journal of Ophthalmology |
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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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format | Article |
id | doaj.art-738e6bd4fce24d79bb571443f0d3a5d2 |
institution | Directory Open Access Journal |
issn | 2412-8740 |
language | English |
last_indexed | 2024-03-11T17:21:41Z |
publishDate | 2021-04-01 |
publisher | Ukrainian Society of Ophthalmologists |
record_format | Article |
series | Journal of Ophthalmology |
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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