Alrawashdeh Hamzeh Mohammad, Jaber Bahaa Al-Din Mustafa, Alharazneh Abdelrahman, Al-Habahbeh Omar
Department of Ophthalmology, Ibn Al Haytham Hospital, Irbid, Jordan.
Department of Ophthalmology, Sharif Eye Centers, Irbid, Jordan.
Oman J Ophthalmol. 2022 Jun 29;15(2):218-221. doi: 10.4103/ojo.ojo_32_21. eCollection 2022 May-Aug.
Cluster headaches are a series of short, excruciating, and unilateral pain that happens for a short period at a time over days, weeks, or months and may awake people from sleep. It is situated behind, in, or around one eye only with possible radiation to the forehead at the same side. Cluster headache is characterized by many ocular features. However, extraocular muscle involvement is unusual in this type of headache. We present a case of chronic cluster headache associated with diplopia due to oculomotor nerve palsy in a 24-year-old man, which responded successfully to oral steroid. This presentation is rare. Therefore, ophthalmologists and neurologists should consider it in their list of a differential diagnosis. A short course of oral prednisolone has a role in the management of patients in such cases.
丛集性头痛是一系列短暂、剧烈的单侧疼痛，一次发作持续数天、数周或数月，且可能在短时间内发作，还可能使患者从睡眠中惊醒。疼痛仅位于一只眼睛后方、眼内或眼周，可能会向同侧前额放射。丛集性头痛具有许多眼部特征。然而，在这类头痛中眼外肌受累并不常见。我们报告一例24岁男性慢性丛集性头痛合并动眼神经麻痹导致的复视病例，该病例对口服类固醇治疗反应良好。这种表现很罕见。因此，眼科医生和神经科医生应将其列入鉴别诊断清单。在这类病例中，短期口服泼尼松龙对患者的治疗有作用。
