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Man referred with headache and unilateral ptosis
A 73-year-old man was referred to the neuro-ophthalmology service for evaluation of headache with associated right upper eyelid ptosis. Two weeks before presentation, he noted the onset of right-sided periorbital headache, which intensified upon lying down. The headache was intermittent but worsened over the subsequent days, and this corresponded with drooping of his right upper eyelid. He went to his local emergency department, where a non-contrast CT scan of his head was unremarkable. The following day he saw an ophthalmologist, and he was presumptively diagnosed with cluster headache.He followed up (Read more...)