- Affects adults in third and fourth decades
- Males more than females
Clinical features
- Recurrent bouts of excruciating pain centred around one eye
- Wakes patient up at night
- Vomiting
- Watering and congestion of affected eye
- Transient ipsilateral Horner's syndrome
Management
- Usually unhelpful
- No analgesia effective for headache
- Lithium carbonate for prophylaxis
- Oxygen during attack
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