Tran Tu M, McClelland Collin M, Lee Michael S
Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, United States.
Department of Neurology, University of Minnesota, Minneapolis, MN, United States.
Front Neurol. 2019 Apr 12;10:361. doi: 10.3389/fneur.2019.00361. eCollection 2019.
Migraine and tension-type headaches (TTHs) comprise a significant burden of neurological disease globally. Trochleodynia, also known as primary trochlear headache or trochleitis, may go unrecognized and contribute to worsening of these headache disorders. It may also present in isolation. We review the English literature on this under-recognized condition and describe what is known about the theorized pathophysiology, clinical presentation, and differential diagnosis. We also present a management algorithm for patients presenting with trochleodynia.
偏头痛和紧张型头痛在全球范围内构成了重大的神经疾病负担。滑车神经痛，也称为原发性滑车神经头痛或滑车神经炎，可能未被识别，并导致这些头痛疾病恶化。它也可能单独出现。我们回顾了关于这种未被充分认识的疾病的英文文献，并描述了关于其理论病理生理学、临床表现和鉴别诊断的已知情况。我们还提出了针对滑车神经痛患者的管理算法。
