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Needle-in-the-eye syndrome, sharp short-lived head pain, [1] jabs and jolts syndrome [2] Ophthalmodynia periodica , also known as " ice-pick headache ", is a primary headache disorder , so it is not caused by any other conditions.
Patients presenting with a headache originating at the posterior skull base should be evaluated for ON. This condition typically presents as a paroxysmal, lancinating or stabbing pain lasting from seconds to minutes, and therefore a continuous, aching pain likely indicates a different diagnosis. Bilateral symptoms are present in one-third of cases.
Cluster-like head pain may be diagnosed as secondary headache rather than cluster headache. [21] A detailed oral history aids practitioners in correct differential diagnosis, as there are no confirmatory tests for cluster headache. A headache diary can be useful in tracking when and where pain occurs, how severe it is, and how long the pain lasts.
Chronic paroxysmal hemicrania (CPH) is a severe debilitating unilateral headache usually affecting the area around the eye. It normally consists of multiple severe, yet short, headache attacks affecting only one side of the cranium. Retrospective surveys indicated that paroxysmal hemicrania was more common in women.
Eye strain, also known as asthenopia (from astheno- 'loss of strength' and -opia 'relating to the eyes'), is a common eye condition that manifests through non-specific symptoms such as fatigue, pain in or around the eyes, blurred vision, headache, and occasional double vision. [1]
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