Diagnosis and management of trochleodynia, trochleitis, and trochlear headache

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16 Scopus citations


Migraine and tension-type headaches (TTHs) comprise a significant burden of neurological disease globally. Trochleodynia, also known as primary trochlear headache or trochleitis, may go unrecognized and contribute to worsening of these headache disorders. It may also present in isolation. We review the English literature on this under-recognized condition and describe what is known about the theorized pathophysiology, clinical presentation, and differential diagnosis. We also present a management algorithm for patients presenting with trochleodynia.

Original languageEnglish (US)
Article number361
JournalFrontiers in Neurology
Issue numberAPR
StatePublished - 2019

Bibliographical note

Publisher Copyright:
© 2019 Tran, McClelland and Lee.


  • Brown syndrome
  • Corticosteroid
  • Diagnosis
  • Headache
  • Treatment
  • Trochlear
  • Trochleitis
  • Trochleodynia


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