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April 1958

Some Current Concepts of Headache, Especially Ocular

AMA Arch Ophthalmol. 1958;59(4):489-494. doi:10.1001/archopht.1958.00940050045003

Although considerable progress has been made in the investigation of the etiology and pathology of head pain and the mechanism of pain production, the diagnosis and treatment of many headaches are still perplexing problems, unsolved in some instances.1 It has long been recognized that the primary symptom of a substantial number of patients consulting any ophthalmologist is headache; yet, it is also true that the exact cause of such pain is equally vague or unfamiliar to the physician. Certainly, it has been the experience of every eye physician to deal with many patients who feel very definitely that headache, which may be present in the areas adjacent to the orbit or in the eye itself, can be due to nothing except some ocular disturbance. This is far from the truth, and to discuss a few of the factors responsible for such head pain, especially as propounded by Wolff2-4

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