Supraorbital Neuralgia Misdiagnosed as Migraine!

Supraorbital neuralgia, according to the International Classification of Headache Disorders, is an uncommon craniofacial pain syndrome marked by paroxysmal or persistent pain localized to the supraorbital notch and medial forehead in the distribution of the supraorbital nerve, associated with tenderness over the supraorbital notch and relief with nerve blockade (Headache Classification Committee of the International Headache Society, 2004). Often misdiagnosed as migraines, supraorbital neuralgia requires a high index of suspicion for accurate diagnosis (Evans and Pareja, 2009). We present a case of a 60-year-old female with chronic supraorbital pain initially misdiagnosed as migraine, successfully treated with ultrasound-guided radiofrequency ablation (RFA) of the supraorbital nerve. This report emphasizes the significance of recognizing supraorbital neuralgia and highlights RFA as a safe and effective treatment option (Ren et al ., 2020; Lee et al ., 2014).