Primary trochlear headache

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Primary trochlear headache. It is a unilateral, continuous, achy periorbital pain. It arises from the trochlear area. Fully referenced neurology checklist.

Pain features

  • It is a unilateral, continuous, achy periorbital pain
  • It arises from the trochlear area
  • It is associated with photophobia and nausea
  • It follows a chronic or remitting course

Aggravating factors

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Absent features

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Treatment

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References

  1. Yangüela J, Sánchez-del-Rio M, Bueno A, et al. Primary trochlear headache: a new cephalgia generated and modulated on the trochlear region. Neurology 2004; 62:1134-1140.
  2. Smith JH, Garrity JA, Boes CJ. Clinical features and long-term prognosis of trochlear headaches. Eur J Neurol 2014; 21:577-585.

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