Kattah J
Am Fam Physician. 1982 Mar;25(3):99-105.
Visual and oculomotor changes may be the only abnormalities in patients complaining of headache. Ocular signs are common during episodes of migraine and cluster headache. Temporal arteritis may be an extracranial cause of ocular signs. Intracranial disorders include painful ophthalmoplegia, pseudotumor cerebri and various causes of increased intracranial pressure. Neurophthalmologic evaluation in headache patients must include assessment of visual acuity and visual fields, examination of pupils (including pharmacologic testing), ophthalmoscopic examination and auscultation for bruits.
视觉和动眼神经变化可能是主诉头痛患者唯一的异常表现。眼部体征在偏头痛和丛集性头痛发作期间很常见。颞动脉炎可能是眼部体征的颅外病因。颅内疾病包括疼痛性眼肌麻痹、假性脑瘤以及各种导致颅内压升高的原因。对头痛患者进行神经眼科评估必须包括视力和视野评估、瞳孔检查（包括药物试验）、眼底镜检查以及听诊有无杂音。
