Bond J B, Wesley R E
Department of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Ann Ophthalmol. 1987 Nov;19(11):438.
A 56-year-old woman developed episodes of throbbing pain in the right orbit accompanied by ipsilateral nasal stuffiness and the feeling of ear swelling six months after orbital exenteration and ethmoidectomy for invasive, sclerosing basal-cell carcinoma. Extensive evaluation and treatment of her sinusitis failed to provide relief for her disabling symptoms. When treated by a neurologist with propranolol for cluster headaches, her symptoms subsided. To the best of our knowledge, this is the second patient with cluster headaches after orbital exenteration. Though no known causal relationship exists, these two patients document that orbital or ocular pain with cluster headaches is a referred or "phantom" pain and confirm the etiology of cluster headaches to lie outside the orbit.
一名56岁女性在因侵袭性硬化性基底细胞癌接受眶内容剜除术和筛窦切除术后6个月，出现右侧眼眶搏动性疼痛发作，伴有同侧鼻塞和耳部肿胀感。对其鼻窦炎进行的广泛评估和治疗未能缓解其致残症状。当神经科医生用普萘洛尔治疗丛集性头痛时，她的症状得到缓解。据我们所知，这是第二例眶内容剜除术后发生丛集性头痛的患者。虽然不存在已知的因果关系，但这两名患者证明，伴有丛集性头痛的眼眶或眼部疼痛是一种牵涉痛或“幻”痛，并证实丛集性头痛的病因位于眼眶之外。
