Publication:
Trochlear pain: clinical characteristics and treatment outcomes

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Issued Date

2018

Resource Type

Article

File Type

application/pdf

ISSN

3405354

DOI

10.1007/s00415-017-8713-7

Other identifier(s)

2-s2.0-85038406648

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of Neurology. Vol 265, No.2 (2018), p.376-380

Suggested Citation

Chanlalit W., Teeyapant C., Soodchuen S. Trochlear pain: clinical characteristics and treatment outcomes. Journal of Neurology. Vol 265, No.2 (2018), p.376-380. doi:10.1007/s00415-017-8713-7 Retrieved from: https://hdl.handle.net/20.500.14740/3707

Title

Trochlear pain: clinical characteristics and treatment outcomes

Author(s)

Chanlalit W.
 Teeyapant C.
 Soodchuen S.

Abstract

Trochlear pain is frequently overlooked as published data regarding the clinical characteristic and current treatment are limited. The aim of this study is to evaluate this information from our experiences with trochlear pain. Medical records of 43 patients with trochlear pain from HRH Princess Maha Chakri Sirindhorn Medical Center between November 2010 and April 2017 were reviewed. Most patients were female (88%), with a median age of 51 years. Common characteristic symptoms of trochlear pain were acute, episodic, dull or pressure-like, periorbital pain, often radiating to the forehead, and aggravated by eye movements, especially reading. The causes of trochlear pain were idiopathic or primary trochlear headache (n = 33, 77%) and trochleitis (n = 10, 23%). Treatments included oral NSAIDs or dexamethasone injection into the trochlear region. At a median follow-up of 11 months (range 0–64), 67% of the patients reported complete remission using oral medication. Local steroid injection is useful in non-responding patients to oral therapy with an overall remission of 86%. Successful treatment outcome was achieved in most patients. © 2017, Springer-Verlag GmbH Germany, part of Springer Nature.

Subject(s)

Dexamethasone
 Diclofenac
 Ibuprofen
 Indometacin
 Lidocaine
 Naproxen
 Nonsteroid antiinflammatory agent
 Steroid
 Adult
 Aged
 Article
 Brown syndrome
 Clinical article
 Diplopia
 Ecchymosis
 Eye movement
 Female
 Follow up
 Headache
 Human
 Idiopathic disease
 Male
 Medical record review
 Middle aged
 Migraine
 Nausea
 Pain
 Photophobia
 Priority journal
 Remission
 Retrospective study
 Symptom
 Tension headache
 Treatment outcome
 Trochlear pain
 Trochlear pain
 Trochleitis
 Very elderly
 Young adult
 Analgesia
 Complication
 Computed tomography scanner
 Diagnostic imaging
 Orbit
 Pain
 Pain measurement
 Procedures
 Treatment outcome
 Trochlear nerve disease
 Anti-Inflammatory Agents, Non-Steroidal
 Female
 Humans
 Male
 Middle Aged
 Orbit
 Pain
 Pain Management
 Pain Measurement
 Retrospective Studies
 Steroids
 Tomography Scanners, X-Ray Computed
 Treatment Outcome
 Trochlear Nerve Diseases

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URI

https://hdl.handle.net/20.500.14740/3707

Collections

Scopus: Year 1983-2021

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