Skip to main content
Erschienen in: Neurological Sciences 1/2019

20.03.2019 | Review Article

Unilateral recurrent periorbital pain: the role of the neuro-ophthalmologist

verfasst von: Stefania Bianchi Marzoli, Alessandra Criscuoli

Erschienen in: Neurological Sciences | Sonderheft 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Unilateral recurrent periorbital pain is an aspecific symptom that may have originated from different orbital and ocular regions and structures that share the same innervation and can be provoked by different pathological disease. Since in some cases the patient is unable to associate with certainty the pain to a specific structure or region, a neuro-ophthalmological evaluation may be addressed to highlight signs useful to suspect the involvement of the eye, the optic nerve, the extra-ocular muscles, or intraorbital tissue or the cavernous sinus. This review describes the clinical patterns of periocular pain related to common ocular disease, orbital, or intracranial diseases.
Literatur
1.
Zurück zum Zitat Bianchi Marzoli S, Criscuoli A (2018) Pain in optic neuropathies. Neurol Sci 39:25–31CrossRef Bianchi Marzoli S, Criscuoli A (2018) Pain in optic neuropathies. Neurol Sci 39:25–31CrossRef
2.
Zurück zum Zitat Bianchi Marzoli S, Criscuoli A (2015) Headache attributed to visual disturbance. Neurol Sci 36:85–88CrossRefPubMed Bianchi Marzoli S, Criscuoli A (2015) Headache attributed to visual disturbance. Neurol Sci 36:85–88CrossRefPubMed
3.
Zurück zum Zitat The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). Ocul Surf 5(2):75–92 The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). Ocul Surf 5(2):75–92
4.
Zurück zum Zitat Galor A, Levitt RC, Felix ER, Martin ER, Sarantopoulos CD (2015) Neuropathic ocular pain: an important yet under evaluated feature of dry eye. Eye 29:301–312CrossRefPubMed Galor A, Levitt RC, Felix ER, Martin ER, Sarantopoulos CD (2015) Neuropathic ocular pain: an important yet under evaluated feature of dry eye. Eye 29:301–312CrossRefPubMed
5.
Zurück zum Zitat Galor A, Batawi H, Felix ER, Margolis TP, Sarantopoulos KD, Martin ER, Levitt RC (2016) Incomplete response to artificial tears is associated with features of neuropathic ocular pain. Br J Ophthalmol 100:745–749CrossRefPubMed Galor A, Batawi H, Felix ER, Margolis TP, Sarantopoulos KD, Martin ER, Levitt RC (2016) Incomplete response to artificial tears is associated with features of neuropathic ocular pain. Br J Ophthalmol 100:745–749CrossRefPubMed
6.
7.
Zurück zum Zitat Kinard KI, Smith AG, Singleton JR, Lessard MK, Katz BJ, Warner JE, Crum AV, Mifflin MD, Brennan KC, Digre KB (2015) Chronic migraine is associated with reduced corneal nerve fiber density and symptoms of dry eye. Headache 55:543–549CrossRefPubMedPubMedCentral Kinard KI, Smith AG, Singleton JR, Lessard MK, Katz BJ, Warner JE, Crum AV, Mifflin MD, Brennan KC, Digre KB (2015) Chronic migraine is associated with reduced corneal nerve fiber density and symptoms of dry eye. Headache 55:543–549CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Rosenthal P, Borsook D, Moulton EA (2016) Oculofacial pain: corneal nerve damage leading to pain beyond the eye. Invest Ophthalmol Vis Sci 57:5285–5287CrossRefPubMedPubMedCentral Rosenthal P, Borsook D, Moulton EA (2016) Oculofacial pain: corneal nerve damage leading to pain beyond the eye. Invest Ophthalmol Vis Sci 57:5285–5287CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Kalangara JP et al (2017) Characteristics of ocular pain complaints in patients with idiopathic dry eye symptoms. Eye Contact Lens 43(3):192–198CrossRefPubMedPubMedCentral Kalangara JP et al (2017) Characteristics of ocular pain complaints in patients with idiopathic dry eye symptoms. Eye Contact Lens 43(3):192–198CrossRefPubMedPubMedCentral
10.
11.
Zurück zum Zitat Galor A, Levitt RC, Felix ER, Martin ER, Sarantopoulos CD (2015) Neuropathic ocular pain: an important yet underevaluated feature of dry eye. Eye 29:301–312CrossRefPubMed Galor A, Levitt RC, Felix ER, Martin ER, Sarantopoulos CD (2015) Neuropathic ocular pain: an important yet underevaluated feature of dry eye. Eye 29:301–312CrossRefPubMed
13.
Zurück zum Zitat Crane AM, Feuer W, Felix ER, Levitt RC, McClellan AL, Sarantopoulos KD, Galor A (2017) Evidence of central sensitisation in those with dry eye symptoms and neuropathic-like ocular pain complaints: incomplete response to topical anaesthesia and generalised heightened sensitivity to evoked pain. Br J Ophthalmol 101:1238–1243CrossRefPubMed Crane AM, Feuer W, Felix ER, Levitt RC, McClellan AL, Sarantopoulos KD, Galor A (2017) Evidence of central sensitisation in those with dry eye symptoms and neuropathic-like ocular pain complaints: incomplete response to topical anaesthesia and generalised heightened sensitivity to evoked pain. Br J Ophthalmol 101:1238–1243CrossRefPubMed
14.
Zurück zum Zitat Moulton EA, Becerra L, Rosenthal P, Borsook D (2012) An approach to localizing corneal pain representation in human primary somatosensory cortex. PLoS One 7:e44643CrossRefPubMedPubMedCentral Moulton EA, Becerra L, Rosenthal P, Borsook D (2012) An approach to localizing corneal pain representation in human primary somatosensory cortex. PLoS One 7:e44643CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Lovati C, D'Amico D, Rosa S, Suardelli M, Mailland E, Bertora P, Pomati S, Mariani C, Bussone G (2007) Allodynia in different forms of migraine. Neurol Sci 28:220–221CrossRef Lovati C, D'Amico D, Rosa S, Suardelli M, Mailland E, Bertora P, Pomati S, Mariani C, Bussone G (2007) Allodynia in different forms of migraine. Neurol Sci 28:220–221CrossRef
16.
Zurück zum Zitat Galor A, Thorne JE (2007) Scleritis and peripheral ulcerative keratitis. Rheum Dis Clin N Am 33:835–854CrossRef Galor A, Thorne JE (2007) Scleritis and peripheral ulcerative keratitis. Rheum Dis Clin N Am 33:835–854CrossRef
18.
Zurück zum Zitat Lewis J, Fourman S (1998) Subacute angle-closure glaucoma as a cause of headache in the presence of a white eye. Headache 38:684–686CrossRefPubMed Lewis J, Fourman S (1998) Subacute angle-closure glaucoma as a cause of headache in the presence of a white eye. Headache 38:684–686CrossRefPubMed
19.
Zurück zum Zitat Smith JH, Garrity JA, Boes CJ (2014) Clinical features and long-term prognosis of trochlear headaches. Eur J Neurol 21(4):577–585CrossRefPubMed Smith JH, Garrity JA, Boes CJ (2014) Clinical features and long-term prognosis of trochlear headaches. Eur J Neurol 21(4):577–585CrossRefPubMed
20.
Zurück zum Zitat Pego-Reigosa R, Vázquez-López ME, Iglesias-Gómez S, Martínez-Vázquez FM (2006) Association between chronic paroxysmal hemicrania and primary trochlear headache: pathophysiology and treatment. Cephalalgia 26:1252–1254CrossRefPubMed Pego-Reigosa R, Vázquez-López ME, Iglesias-Gómez S, Martínez-Vázquez FM (2006) Association between chronic paroxysmal hemicrania and primary trochlear headache: pathophysiology and treatment. Cephalalgia 26:1252–1254CrossRefPubMed
21.
Zurück zum Zitat Raieli V, Cardella F, Roppolo R, Messina LM, Vanadia F, Brighina F (2019) Does trochlear migraine exist? A“pure” pediatric case report and nosographic considerations. Curr Neurobiol 10:1–4 Raieli V, Cardella F, Roppolo R, Messina LM, Vanadia F, Brighina F (2019) Does trochlear migraine exist? A“pure” pediatric case report and nosographic considerations. Curr Neurobiol 10:1–4
22.
Zurück zum Zitat Jarrín E, García-García Á, Hurtado-Ceña FJ, Rodríguez-Sánchez JM (2017) Clinical characteristics treatment and outcome of trochleitis. Strabismus 25:1–4CrossRefPubMed Jarrín E, García-García Á, Hurtado-Ceña FJ, Rodríguez-Sánchez JM (2017) Clinical characteristics treatment and outcome of trochleitis. Strabismus 25:1–4CrossRefPubMed
23.
Zurück zum Zitat Chanlalit W, Teeyapant C, Soodchuen S (2018) Troclear pain clinical characteristics and treatment outcomes. J Neurol 265(2):376–380CrossRefPubMed Chanlalit W, Teeyapant C, Soodchuen S (2018) Troclear pain clinical characteristics and treatment outcomes. J Neurol 265(2):376–380CrossRefPubMed
24.
Zurück zum Zitat Guaschino E, Zandrini C, Minonzio G, Mancioli A, Broggini M, Bono G (2005) Relapsing-remitting painful ophthalmoplegia due to orbital myositis. J Headache Pain 6:471–472CrossRefPubMedPubMedCentral Guaschino E, Zandrini C, Minonzio G, Mancioli A, Broggini M, Bono G (2005) Relapsing-remitting painful ophthalmoplegia due to orbital myositis. J Headache Pain 6:471–472CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Lee MS, Lessel S (2002) Orbital myositis posing as cluster headache. Arch Neurol 50:635–636CrossRef Lee MS, Lessel S (2002) Orbital myositis posing as cluster headache. Arch Neurol 50:635–636CrossRef
26.
Zurück zum Zitat Politi LS, Forghani R, Godi C, Resti AG, Ponzoni M, Bianchi S, Iadanza A, Ambrosi A, Falini A, Ferreri AJ, Curtin HD, Scotti G (2010) Ocular adnexal lymphoma: diffusion-weighted MR imaging for differential diagnosis and therapeutic monitoring. Radiology 256(2):565–574CrossRefPubMed Politi LS, Forghani R, Godi C, Resti AG, Ponzoni M, Bianchi S, Iadanza A, Ambrosi A, Falini A, Ferreri AJ, Curtin HD, Scotti G (2010) Ocular adnexal lymphoma: diffusion-weighted MR imaging for differential diagnosis and therapeutic monitoring. Radiology 256(2):565–574CrossRefPubMed
27.
Zurück zum Zitat Politi LS, Godi C, Cammarata G, Ambrosi A, Iadanza A, Lanzi R, Falini A, Bianchi Marzoli S (2014) Magnetic resonance imaging with diffusion weighted imaging in the evaluation of thyroid-associated orbitopathy: getting below the tip of the iceberg. Eur Radiol 24(5):1118–1126CrossRefPubMed Politi LS, Godi C, Cammarata G, Ambrosi A, Iadanza A, Lanzi R, Falini A, Bianchi Marzoli S (2014) Magnetic resonance imaging with diffusion weighted imaging in the evaluation of thyroid-associated orbitopathy: getting below the tip of the iceberg. Eur Radiol 24(5):1118–1126CrossRefPubMed
28.
Zurück zum Zitat Ling JD, Ling JD, Chao D, Al Zubidi N, Lee AG (2013) Big red flags in neuro-ophthalmology. Can J Ophthalmol 48:3–7CrossRefPubMed Ling JD, Ling JD, Chao D, Al Zubidi N, Lee AG (2013) Big red flags in neuro-ophthalmology. Can J Ophthalmol 48:3–7CrossRefPubMed
30.
31.
Zurück zum Zitat Zhang X, Zhou Z, Steiner TJ, Zhang W, Liu R, Dong Z, Wang X, Wang R, Yu S (2014) Validation of ICHD-3 beta diagnostic criteria for 13.7 Tolosa-Hunt syndrome: analysis of 77 cases of painful ophthalmoplegia. Cephalalgia 34:624–632CrossRefPubMed Zhang X, Zhou Z, Steiner TJ, Zhang W, Liu R, Dong Z, Wang X, Wang R, Yu S (2014) Validation of ICHD-3 beta diagnostic criteria for 13.7 Tolosa-Hunt syndrome: analysis of 77 cases of painful ophthalmoplegia. Cephalalgia 34:624–632CrossRefPubMed
32.
Zurück zum Zitat Schuknecht B, Sturm V, Huisman TA, Landau K (2009) Tolosa-Hunt syndrome: MR imaging features in 15 patients with 20 episodes of painful ophthalmoplegia. Eur J Radiol 69:445–453CrossRefPubMed Schuknecht B, Sturm V, Huisman TA, Landau K (2009) Tolosa-Hunt syndrome: MR imaging features in 15 patients with 20 episodes of painful ophthalmoplegia. Eur J Radiol 69:445–453CrossRefPubMed
33.
Zurück zum Zitat Agostoni E, Frigerio R, Santoro P (2005) Atypical facial pain: clinical consideration and differential diagnosis. Neurol Sci 26:71–74CrossRef Agostoni E, Frigerio R, Santoro P (2005) Atypical facial pain: clinical consideration and differential diagnosis. Neurol Sci 26:71–74CrossRef
34.
Zurück zum Zitat Optic Neuritis Study Group (1991) The clinical profile of optic neuritis. Experience of the optic neuritis treatment trial. Arch Ophthalmol 109:1673–1678CrossRef Optic Neuritis Study Group (1991) The clinical profile of optic neuritis. Experience of the optic neuritis treatment trial. Arch Ophthalmol 109:1673–1678CrossRef
35.
Zurück zum Zitat Agostoni E, Frigerio R, Protti A (2005) Controversies in optic neuritis pain diagnosis. Neurol Sci 26:75–78CrossRef Agostoni E, Frigerio R, Protti A (2005) Controversies in optic neuritis pain diagnosis. Neurol Sci 26:75–78CrossRef
36.
Zurück zum Zitat Choi S, Lee YJ, Kim DW, Yang JY (2014) A case of neuromyelitis optica misdiagnosed as cervicogenic headache. Korean J Pain 27:77–80CrossRefPubMed Choi S, Lee YJ, Kim DW, Yang JY (2014) A case of neuromyelitis optica misdiagnosed as cervicogenic headache. Korean J Pain 27:77–80CrossRefPubMed
37.
Zurück zum Zitat Starling AJ (2018) Diagnosis and management of headache in older adults. Mayo Clin Proc 93:252–262CrossRefPubMed Starling AJ (2018) Diagnosis and management of headache in older adults. Mayo Clin Proc 93:252–262CrossRefPubMed
38.
Zurück zum Zitat Berry S, Lin WV, Sadaka A, Lee AG (2017) Nonarteritic anterior ischemic optic neuropathy: cause, effect, and management. Eye Brain 27(9):23–28CrossRef Berry S, Lin WV, Sadaka A, Lee AG (2017) Nonarteritic anterior ischemic optic neuropathy: cause, effect, and management. Eye Brain 27(9):23–28CrossRef
Metadaten
Titel
Unilateral recurrent periorbital pain: the role of the neuro-ophthalmologist
verfasst von
Stefania Bianchi Marzoli
Alessandra Criscuoli
Publikationsdatum
20.03.2019
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe Sonderheft 1/2019
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-03797-4

Weitere Artikel der Sonderheft 1/2019

Neurological Sciences 1/2019 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.