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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can migraines infest as facial tics, painful eyes and stuffy nose?

Last night I was experiencing what I thought was a migraine (I ve been suffering from migraines for nearly 10 years now...I am 38), but it came on very quickly and was different. The pain was severe around my left eye, my nose got suddenly stuffy and my cheek underneath my left eye started twitching. I was briefly, but intensely, nauseous for about 20 minutes at one point during the headache. I was uncomfortable and unsettled overall and wasn t sure what to do. At some point I fell asleep and woke up the next morning with a typical migraine hangover and also pain in or near the tear duct in my right eye. I am anxious about getting another headache like this. It was worse than the usual migraine that I get. Plus, the facial tic made me nervous. I don t know if the pain I m still feeling in my right eye near the tear duct is related at all. Does this sound like just another version of a migraine? Thanks.
Wed, 28 Oct 2015
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  User's Response

Welcome and thank you for asking on HCM!

Your symptoms seem to be related to a Cluster Headache. It is not a typical migraine, as autonomic features (stuffy nose, eye redness and pain, tearing) are not typical of migraine.

The duration (over 20 minutes) is typical of a Cluster Headache.

Although the facial twitching is not a characteristic of this type of headache.

I recommend consulting with a neurologist for a careful physical examination and a brain CT scan or MRI to exclude a possible intracranial lesion (of the ponto cerebellary angle), which could be related to your symptomatology.

Some blood lab tests are also needed :

-complete blood count (infection, anemia)
-PCR, sedimentation rate (inflammation, to exclude temporal arteritis)
- blood electrolytes

You should discuss with your doctor on the above possibilities.

Hope to have been helpful!

Best regards!

Dr. Aida Quka
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