Cluster headache physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]
Overview
Examination findings in cluster headache are usually autonomic related; suggesting parasympathetic hyperactivity and sympathetic impairment. Exam findings may include ptosis, lacrimation, conjuctival injection, miosis, nasal congestion, rhinorrhea, neck stiffness and photophobia.
Examination
- Horner's syndrome:[1]
- Ptosis (drooping eyelids)
- Conjunctival injection (which results in red, watery eyes)
- Lacrimation (tearing)
- Miosis (constricted pupil)
- Eyelid edema
- Nasal congestion
- Rhinorrhea (runny nose)
- Sweating on the affected side of the face.
- Neck stiffness
- Photophobia
References
- ↑ Graff JM, Lee AG (February 21, 2005). "Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis". Ophthalmology Grand Rounds. The University of Iowa. Retrieved 2006-09-22.