Unilateral corneal arcus and conjunctival vessel alterations in cranial autonomic dysregulation: A case report.

Conjunctival hyperemia conjunctival vessels corneal arcus cranial autonomic dysregulation migraine

Journal

European journal of ophthalmology
ISSN: 1724-6016
Titre abrégé: Eur J Ophthalmol
Pays: United States
ID NLM: 9110772

Informations de publication

Date de publication:
Sep 2023
Historique:
medline: 31 8 2023
pubmed: 4 11 2022
entrez: 3 11 2022
Statut: ppublish

Résumé

Cranial autonomic dysregulation is a common symptom of patients suffering from cluster headache or migraine. The peripheral vascular dysfunction may increase the risk for ischemic or hemorrhagic strokes, myocardial infarction, retinal vasculopathy, cardiovascular mortality, and peripheral artery diseases. Furthermore, it may also manifest with ocular symptoms, e.g., increased lacrimation, conjunctival injection, and facial swelling. We here report a case of a patient with migraine and ocular signs of a vascular dysregulation that have led to persisting changes of conjunctival vessels and to a corneal arcus. Autonomic vascular dysregulation may not only cause headaches but also persisting changes of ocular tissues, e.g., conjunctival vessel alterations and a corneal arcus.

Sections du résumé

BACKGROUND BACKGROUND
Cranial autonomic dysregulation is a common symptom of patients suffering from cluster headache or migraine. The peripheral vascular dysfunction may increase the risk for ischemic or hemorrhagic strokes, myocardial infarction, retinal vasculopathy, cardiovascular mortality, and peripheral artery diseases. Furthermore, it may also manifest with ocular symptoms, e.g., increased lacrimation, conjunctival injection, and facial swelling.
CASE PRESENTATION METHODS
We here report a case of a patient with migraine and ocular signs of a vascular dysregulation that have led to persisting changes of conjunctival vessels and to a corneal arcus.
CONCLUSIONS CONCLUSIONS
Autonomic vascular dysregulation may not only cause headaches but also persisting changes of ocular tissues, e.g., conjunctival vessel alterations and a corneal arcus.

Identifiants

pubmed: 36325686
doi: 10.1177/11206721221136426
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

NP91-NP94

Auteurs

Muriel Dysli (M)

Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Mathias Abegg (M)

Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Hassen Kerkeni (H)

Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Roger Kalla (R)

Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Christoph Tappeiner (C)

Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.
Department of Ophthalmology, Pallas Kliniken, Olten, Switzerland.
Department of Ophthalmology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Department of Ophthalmology, San Raffaele Scientific Institute, University Vita-Salute, Milan, Italy.

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Classifications MeSH