Which type of headache may be accompanied by ptosis (drooping eyelid)?

Generally, headaches associated with ptosis (drooping eyelid) may include painful ophthalmoplegia, cluster headache, trigeminal neuralgia, brainstem infarction, and intracranial aneurysm. If abnormalities occur, timely medical consultation is recommended. Detailed explanations are as follows:

1. Painful Ophthalmoplegia: Painful ophthalmoplegia may be caused by ocular trauma, neurosyphilis, and other factors, leading to unilateral headache and eye pain, possibly accompanied by ptosis. Treatment may include medications such as dexamethasone sodium phosphate injection or methylprednisolone sodium succinate for injection, under medical guidance.

2. Cluster Headache: Cluster headache may be related to genetic factors. During an attack, unilateral headache occurs, accompanied by explosive-like pain around the eye and symptoms such as ptosis. Patients may take medications such as ibuprofen tablets, indomethacin tablets, or nimodipine tablets under a physician's guidance for treatment.

3. Trigeminal Neuralgia: Trigeminal neuralgia is a neurological disorder characterized by facial nerve dysfunction. The pain may radiate to the periorbital area, causing temporary oculomotor nerve dysfunction, manifested as unilateral ptosis, possibly accompanied by headache. Treatment usually involves medications such as gabapentin tablets, carbamazepine tablets, or oxcarbazepine tablets, taken under medical advice to relieve symptoms.

4. Cerebral Infarction: Brainstem infarction can damage the nerves controlling eye movement, causing unilateral ptosis accompanied by headache. Cerebral infarction is a serious cerebrovascular disease requiring urgent thrombolytic therapy or thrombectomy, along with adjunctive treatment using medications such as edaravone injection, cytidine diphosphate-choline sodium capsules, or piracetam capsules, as directed by a physician.

5. Intracranial Aneurysm: When an intracranial aneurysm compresses the oculomotor nerve, it can cause headache accompanied by ptosis. This condition is serious, as aneurysm rupture may lead to severe complications such as cerebral hemorrhage. Patients experiencing such symptoms should seek immediate medical attention for cerebral angiography to determine the location and size of the aneurysm and follow medical advice for treatments such as chemotherapy or surgical removal.

It is recommended to maintain a healthy lifestyle, ensure adequate sleep, improve dietary habits, regulate physical condition, and promote overall health.

References:

[1] Ge Mingxu. Research on Pathogenic Gene Screening and Endovascular Intervention for Intracranial Aneurysms [D]. Shandong: Shandong University, 2007.

[2] Zhang Shan, Ma XunTai. Clinical Analysis of 3 Cases of Subarachnoid Hemorrhage with Unrevealing Head CT Findings [J]. Journal of Third Military Medical University, 2014, 36(16):1757,1760.