Association of Cluster Headache and Secondary Blepharospasm

To report a case of cluster headache associated with secondary blepharospasm and its management. Case Report: A 37-year-old lady was referred because of unilateral severe blepharospasm. She had a history of severe headache in the same side of blepharospasm with features compatible with cluster headache. Blepharospasm was treated with botulinum toxin but treatment of headache was challenging and finally responded to beta blockers and anti-psychotic medications. In secondary blepharospasm, it is necessary to treat the underlying disease in addition to blepharospasm.