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Coexistent Internal Ophthalmoplegia and Cluster Headache
Author(s) -
Turkewitz L. Jay,
Batti James A.
Publication year - 1987
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1987.hed2706319.x
Subject(s) - medicine , cluster headache , cluster (spacecraft) , oculomotor nerve palsy , palsy , oculomotor nerve , pediatrics , surgery , anesthesia , pathology , alternative medicine , migraine , computer science , programming language
SYNOPSIS We present a patient with insulin dependent diabetes who developed severe retroorbital pain and subsequent internal ophthalmoplegia. Resolution unveiled typical cluster headache. We suspect this previously unreported coexistence of cluster headache with a diabetic third nerve palsy was a chance occurrence. The possibility of combined sympathetic and parasympathetic pupillomotor dysfunction was considered. The diagnosis of cluster headache was delayed by the masking coexistent clinical features of the oculomotor palsy.