What is trochlear headache?
Conclusions: The trochlear region is the origin of a specific and unrecognized headache, which we have named primary trochlear headache. Local treatment on the trochlear area is also useful for other concurrent primary headaches with inadequate response to oral therapy.
How is trochleitis diagnosed?
Trochleitis usually affects a single eye, but can involve both eyes. Ultrasound imaging and noting a rapid improvement with locally injected corticosteroids aids in diagnosis.
Why does my trochlea hurt?
Inflammation of the trochlea, trochleitis, produces swelling and tenderness, presenting as a unilateral periorbital pain, a headache referable to the trochlear apparatus. Trochleitis can be idiopathic or secondary to inflammatory or autoimmune connective tissue disorders.
Can Trochleitis cause migraines?
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.
What does Trochleitis feel like?
Symptoms. Patients with trochleitis typically experience a dull fluctuating aching over the trochlear region developing over a few days. Some may also feel occasional sharp pains punctuating the ache. In patients with migraines, trochleitis may occur simultaneously with headache.
How do you test for trochlear cranial nerve?
To assess the trochlear nerve, instruct the patient to follow your finger while you move it down toward his nose. Cranial nerve V covers most of the face. If a patient has a problem with this nerve, it usually involves the forehead, cheek, or jaw—the three areas of the trigeminal nerve.
Can trochleitis cause migraines?
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.
What is primary trochlear headache?
Primary trochlear headache: a new cephalgia generated and modulated on the trochlear region. Neurology. (2004) 62:1134–40. 10.1212/01.WNL.0000118841.97273.5D [PubMed] [CrossRef] [Google Scholar]
What are the signs and symptoms of trochleitis?
Signs and symptoms include aching and/or stabbing pain in the inner orbit of the eye (e.g., near the nose and inner eyebrow). The pain tends to worsen when looking up and down, and when gentle pressure is applied. Trochleitis usually affects a single eye, but can involve both eyes.
What is idiopathic trochleitis?
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.