Open Access

A case of unclassified headache involving bilateral nuchal to frontal pain associated with burning eyes and lacrimation

The Journal of Headache and Pain20067:294

https://doi.org/10.1007/s10194-006-0294-2

Received: 17 April 2006

Accepted: 12 May 2006

Published: 15 June 2006

Abstract

A 21-year-old Caucasian male presented to an oral medicine clinic with bilateral nuchal to frontal headache that was associated with burning eyes and lacrimation. Following a string of previous consultations with a variety of specialists, no diagnosis had been made. Treatment was carried out empirically, with the best improvement experienced when the patient was put on a combination of gabapentin and dothiepin treatment. This case highlights the importance of multidisciplinary management of headaches, as well as constant revision of the International Classification of Headache Disorders.

Key words

HeadacheMultidisciplinary treatmentHeadache classification