title: A case of unclassified headache involving bilateral nuchal to frontal pain associated with burning eyes and lacrimation.
abstract: A 21-year-old Caucasian male presented to an oral medicine clinic with bilateral nuchal to frontal headache that was associated with burning eyes and lacrimation. Following a string of previous consultations with a variety of specialists, no diagnosis had been made. Treatment was carried out empirically, with the best improvement experienced when the patient was put on a combination of gabapentin and dothiepin treatment. This case highlights the importance of multidisciplinary management of headaches, as well as constant revision of the International Classification of Headache Disorders.
authors.affiliation: 28 Philosophes, CH-1205, Geneva, Switzerland. gregory.antonarakis@zoo.unige.ch
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Antonarakis
authors.forename: Mike
authors.initials: M
authors.lastname: Hughes
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005128:Eye Diseases / Q000209:etiology*; D006261:Headache / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013666:Tears / Q000378:metabolism*