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- Title
Side-Locked Headache as the Chief Complaint of Inflammatory Orbital Pseudotumor (Myositic Form): A Case Report.
- Authors
Krymchantowski, Abouch V.; Oliveira, Tatiana; Bigal, Marcelo E.
- Abstract
The case of a 38-year-old woman with continuous unilateral side-locked headache is reported. She had continuous right-sided periorbital pain of mild to moderate intensity for the past 5 months. She also reported a few episodes of pain exacerbations every day. She had no autonomic features. Based on a normal CT scan ordered by her general physician, we started indomethacin (150 mg/day) as well as celecoxib (400 mg/day) for 2 weeks, without relief. Oral prednisone for 6 days provided important relief, and she stayed on daily use of steroids, refusing other forms of therapy. After 5 months she developed orbital and eyelid edema, with painful restrictions to eye movement. Orbital MRI and pathological exam demonstrated inflammatory orbital pseudotumor (myositic form).
- Subjects
HEADACHE; INTRACRANIAL hypertension; INFLAMMATION; CELECOXIB; STEROIDS; TOMOGRAPHY
- Publication
Headache: The Journal of Head & Face Pain, 2006, Vol 46, Issue 4, p683
- ISSN
0017-8748
- Publication type
Article
- DOI
10.1111/j.1526-4610.2006.00417.x