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IMAGES IN NEUROLOGY • Arq. Neuro-Psiquiatr. 73 (8) • Aug 2015 • https://doi.org/10.1590/0004-282X20150092 linkcopy

Open-access The ear as a diagnostic key in a headache syndrome

A orelha como chave diagnóstica em uma síndrome de cefaleia

AuthorshipSCIMAGO INSTITUTIONS RANKINGS

    A 64-year-old woman presented with four episodes of sudden non-progressive sharp and throbbing left ear pain in the last four months, each lasting few minutes, accompanied by redness in the left ear (Figure). Medical history showed chronic migraine by 25 years. Neurologic, opthalmic and otorhinolaryngologic examinations, neuroimaging evaluation of skull, cervical and thoracic columns were all unremarkable. A diagnosis of red ear syndrome (RES) was made.

    Figure
    Dermatological evaluation during acute headache episode.

    RES is a rare under-recognized clinical condition manifesting as paroxysmal episodes of auricular and periauricular pain and burning sensation with ipsilateral ear rash1, triggered by different periauricular stimuli or neck movements2.

    References

    Publication Dates

    • Publication in this collection
      Aug 2015

    History

    • Received
      20 Nov 2014
    • Reviewed
      29 Mar 2015
    • Accepted
      20 Apr 2015
    Creative Common - by-nc 3.0
    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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