Clinical Reasoning: A Teenager With Right-Sided Headache and Periorbital Changes

Neurology. 2023 Jan 17;100(3):144-150. doi: 10.1212/WNL.0000000000201482. Epub 2022 Oct 19.

Abstract

While migraine is the most common headache disorder in children and adolescents presenting to a neurologist, other primary headache disorders are important to recognize. Trigeminal autonomic cephalalgias represent a rare group of primary headache disorders with different characteristics, workup, and management. In this study, we present an adolescent with 1 common and 1 unique headache phenotype, followed by a guided discussion of the differential diagnoses, workup, treatments, and a brief summary of further management considerations.

MeSH terms

  • Clinical Reasoning
  • Cluster Headache* / diagnosis
  • Diagnosis, Differential
  • Headache / diagnosis
  • Headache / etiology
  • Headache Disorders* / diagnosis
  • Humans
  • Migraine Disorders* / diagnosis
  • Trigeminal Autonomic Cephalalgias* / diagnosis