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44 YO female has a sudden onset of left neck and jaw pain. Her husband notices that she starts to slurs some of her words. He rushes her to the ER. She had a CT and set up a brain MRI for early morning. Symptoms evolve to mostly left orbit pain. The MRI is normal. Rounded by a neurologist for 2-3 minutes. Told her she didn't have a stroke and to go home.

The left orbit pain continues as does a Horner's syndrome (starting, they think, during the night at the hospital, prior to the neurologist's visit) and has persisted for the week. The pain is still focused in her left eye (8/10) and is a tearing sensation. Her husband brings her to our headache clinic. BTW, she feels a lessor pain still in her neck and left shoulder.

What would do you think this is? (I have the answer but just wanted to know what you thought).



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