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报道一例摘除眼球后出现同侧典型的丛集性头痛患者,男性,18年前因爆炸伤摘除右眼,头痛位于右眼部,伴多泪、鼻溢和轻度面红,每次发作30～60分钟,每天1～2次,常持续1～2个月,缓解6个月以上。发作时见右眼眶凹陷,左瞳孔偏心。实验室检查无异常发现。经锂治疗头痛明显缓解。丛集性头痛的病因仍未明了,以往根据疼痛位于眼眶或眶周,发作时眶内压增高伴角膜凹陷性搏动以及未能证实颈动脉循环中有一致性改变,故一度曾认为眼在丛集性头痛发病中起重要作用,并有基于此理论治疗成功的报道。有过眼球摘除后同侧出现丛集性头痛的报道,也有报道为减轻顽固性头痛而摘除眼球,或出现头
Reported a case of removal of the eye after the ipsilateral typical cluster headache patients, men, 18 years ago due to blast injury removal of the right eye, headache in the right eye, with multiple tears, rhinorrhea and mild redness, each attack 30 ~ 60 minutes, 1 to 2 times a day, often lasting 1 to 2 months, more than 6 months to ease. See the attack when the right eye orbital depression, left pupil eccentric. No abnormal laboratory tests found. Lithium treatment of headache was significantly relieved. The cause of cluster headache remains unclear. In the past, pain was located in the orbit orbit, orbital seizure increased seizure with corneal patency beating and failed to confirm a consistent change in the carotid circulation, it was once thought that the eye in the cluster Headache plays an important role in the pathogenesis, and based on the theory of successful treatment reports. There have been reports of ipsilateral clustering headache after enucleation, and there have also been reports of extirpation of the eye or head in order to alleviate intractable headaches