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 Volume 58, Number 5, March 12, 2002
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Neurology 2002;58:802-805
© 2002 American Academy of Neurology
Brief Communications

Trochleitis and migraine headache

Julio Yangüela, MD, Juan A. Pareja, MD PhD, Nicolas Lopez, MD and Margarita Sánchez del Río, MD

From the Departments of Ophthalmology (Dr. Yangüela) and Neurology and Headache Program (Dr. Pareja and Dra. Sánchez del Río), Department of Neurology and Research Institute, Fundación Hospital Alcorcón, Juan Carlos I University, Madrid; and Department of Ophthalmology (Dr. Lopez), Hospital La Mancha Centro, Ciudad Real, Spain.

Address correspondence and reprint requests to Dr. Julio Yangüela Rodilla, Plaza Dr Laguna 1, 28009 Madrid, Spain; e-mail: jyanguela{at}fhalcorcon.es

Idiopathic trochleitis is a cause of superimposed ocular pain in patients with migraine. Trochleitis usually presents as an orbital pain without obvious ocular signs. Like greater occipital neuralgia, trochleitis may sustain or trigger the pain of chronic migraine. Diagnosis is confirmed by peritrochlear steroid injection, which produces a quick relief of periocular symptoms and may improve headache control.




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J. Yanguela, M. Sanchez-del-Rio, A. Bueno, A. Espinosa, P. Gili, N. Lopez-Ferrando, F. Barriga, J. C. Nieto, and J. A. Pareja
Primary trochlear headache: A new cephalgia generated and modulated on the trochlear region
Neurology, April 13, 2004; 62(7): 1134 - 1140.
[Abstract] [Full Text] [PDF]

Correspondence:

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Trochleitis and migraine headache
Lawrence Tychsen
Neurology Online, 25 Feb 2003 [Full text]
Reply to Letter to the Editor
Julio Yanguela
Neurology Online, 25 Feb 2003 [Full text]

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