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Primary headache disorders and neuro-ophthalmologic manifestations
#MMPMID28539781
Schwartz DP
; Robbins MS
Eye Brain
2012[]; 4
(?): 49-61
PMID28539781
show ga
Headache is an extraordinarily common complaint presenting to medical
practitioners in all arenas and specialties, particularly primary care
physicians, neurologists, and ophthalmologists. A wide variety of headache
disorders may manifest with a myriad of neuro-ophthalmologic symptoms, including
orbital pain, disturbances of vision, aura, photophobia, lacrimation,
conjunctival injection, ptosis, and other manifestations. The differential
diagnosis in these patients is broad and includes both secondary, or symptomatic,
and primary headache disorders. Awareness of the headache patterns and associated
symptoms of these various disorders is essential to achieve the correct
diagnosis. This paper reviews the primary headache disorders that prominently
feature neuro-ophthalmologic manifestations, including migraine, the trigeminal
autonomic cephalalgias, and hemicrania continua. Migraine variants with prominent
neuro-ophthalmologic symptoms including aura without headache, basilar-type
migraine, retinal migraine, and ophthalmoplegic migraine are also reviewed. This
paper focuses particularly on the symptomatology of these primary headache
disorders, but also discusses their epidemiology, clinical features, and
treatment.
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