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Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 218-221

Cluster headache associated with oculomotor nerve palsy: A case report and review of literature

1 Department of Ophthalmology, Ibn Al Haytham Hospital; Department of Ophthalmology, Sharif Eye Centers, Irbid, Jordan
2 Department of Optometry, Faculty of Health Allied Sciences, Al-Ahliyya Amman University, Amman, Jordan
3 Department of Special Surgeries, Faculty of Medicine, Mutah University, Al Karak, Jordan
4 Department of Ophthalmology, Ibn Al Haytham Hospital, Irbid, Jordan

Correspondence Address:
Dr. Hamzeh Mohammad Alrawashdeh
Department of Ophthalmology, Sharif Eye Centers, PO.Box: 410739, Irbid
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ojo.ojo_32_21

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Cluster headaches are a series of short, excruciating, and unilateral pain that happens for a short period at a time over days, weeks, or months and may awake people from sleep. It is situated behind, in, or around one eye only with possible radiation to the forehead at the same side. Cluster headache is characterized by many ocular features. However, extraocular muscle involvement is unusual in this type of headache. We present a case of chronic cluster headache associated with diplopia due to oculomotor nerve palsy in a 24-year-old man, which responded successfully to oral steroid. This presentation is rare. Therefore, ophthalmologists and neurologists should consider it in their list of a differential diagnosis. A short course of oral prednisolone has a role in the management of patients in such cases.

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