Clinical Reasoning: A Teenager With Right-Sided Headache and Periorbital Changes.

Lax, Daniel N; Kabbouche, Marielle; Kacperski, Joanne; Hershey, Andrew D · Neurology · 2023

case_report · Level V

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Abstract

While migraine is the most common headache disorder in children and adolescents presenting to a neurologist, other primary headache disorders are important to recognize. Trigeminal autonomic cephalalgias represent a rare group of primary headache disorders with different characteristics, workup, and management. In this study, we present an adolescent with 1 common and 1 unique headache phenotype, followed by a guided discussion of the differential diagnoses, workup, treatments, and a brief summary of further management considerations.

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