title: Trigeminal autonomic cephalgia caused by recurrent posterior scleritis.
abstract: A 40-year-old woman presented with a side-locked headache with autonomic features, which then switched sides before reverting to the original side. The atypical features of side swapping, partial response to indometacin and abnormal optic disc appearances ultimately led to a diagnosis of recurrent posterior scleritis. We discuss the differential diagnosis of trigeminal autonomic cephalgias and its secondary causes, and provide practical pointers for its investigation and management.
authors: Department of Neurology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.
authors: Ali
authors: A
authors: Alim-Marvasti
authors: Department of Ophthalmology, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, Hillingdon, UK.
authors: Jason
authors: J
authors: Ho
authors: Department of Neurology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.
authors: Mark
authors: M
authors: Weatherall
authors: Department of Neuroradiology, Imperial College Healthcare NHS Trust, London, UK.
authors: Maneesh
authors: M
authors: Patel
authors: Department of Ophthalmology, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, Hillingdon, UK.
authors: Sheena
authors: S
authors: George
authors: Department of Neurology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.
authors: Stuart
authors: S
authors: Viegas
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache; D006801:Humans; D015423:Scleritis / Q000150:complications*; D051303:Trigeminal Autonomic Cephalalgias / Q000209:etiology*
keywords: HEADACHE; NEUROOPHTHALMOLOGY; NEURORADIOLOGY; OPHTHALMOLOGY; STEROIDS