A case of unclassified headache involving bilateral nuchal to frontal pain associated with burning eyes and lacrimation

Abstract

A 21-year-old Caucasian male presented to an oral medicine clinic with bilateral nuchal to frontal headache that was associated with burning eyes and lacrimation.Following a string of previous consultations with a variety of specialists,no diagnosis had been made. Treatment was carried out empirically, with the best improvement experienced when the patient was put on a combination of gabapentin and dothiepin treatment.This case highlights the importance of multidisciplinary management of headaches, as well as constant revisionof the International Classification of Headache Disorders. © Springer-Verlag Italia 2006.