AUTHOR=Tran Tu M. , McClelland Collin M. , Lee Michael S. 

TITLE=Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

JOURNAL=Frontiers in Neurology

VOLUME=10

YEAR=2019

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2019.00361

DOI=10.3389/fneur.2019.00361

ISSN=1664-2295

ABSTRACT=<p>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.</p>