Headache Triggered by Eye Movement: Is It a Cold Complication? - Neurology

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Eye movement causes headaches?


Two days ago, I woke up feeling like I had a cold with a slight fever.
I had a severe headache accompanied by muscle aches, but I still went to class.
In the afternoon, I took a nap for over three hours, but I still didn't feel any better.
After going out to buy some over-the-counter medication, my fever subsided and the muscle aches improved, but I still have a mild headache.
I haven't had a fever in the last two days, and the only remaining cold symptom is a sore throat.
However, I've noticed that whenever I move my left eye, I experience a slight pain on the left side of my head, which isn't very intense and feels somewhat like a mild cramp.
Occasionally, I also experience sharp pain on the right side of my head (though infrequently and unrelated to eye movement).
Could this be caused by the cold, or is it a complication?

A, 10~19 year old female. Ask Date: 2018/11/21

Dr. Cai Zongzhang reply Neurology


Hello, if the symptoms persist, it is recommended that you visit an outpatient clinic for an examination.

Reply Date: 2018/11/21

More Info


The symptoms you are experiencing, particularly the headache triggered by eye movement, can be quite concerning and may indicate a few different underlying issues. Given your recent history of cold-like symptoms, including fever, muscle aches, and throat pain, it is possible that your current headache is related to the viral infection you experienced. However, the specific nature of your headache—especially the fact that it is exacerbated by eye movement—suggests that there may be more to consider.

When you have a viral infection, such as a cold, it can lead to inflammation in various parts of the body, including the sinuses. Sinusitis, or inflammation of the sinus cavities, can cause headaches that are often felt in the forehead, cheeks, or around the eyes. These headaches can worsen with movement, including eye movement, due to the pressure changes in the sinus cavities. If your throat pain is due to post-nasal drip from sinus congestion, this could also contribute to your ongoing discomfort.

Another possibility is that the headache you are experiencing is a tension-type headache. This type of headache can be triggered by stress, fatigue, or muscle tension, and it is not uncommon for individuals recovering from an illness to experience increased tension in the neck and shoulder muscles, which can lead to headaches. The fact that you mentioned feeling muscle soreness could indicate that your body is still recovering from the viral infection, and this could contribute to muscle tension and subsequent headaches.

Additionally, it is important to consider the possibility of a more serious condition, such as a migraine or even a secondary headache due to increased intracranial pressure, especially if you notice any other alarming symptoms such as visual disturbances, severe nausea, or changes in consciousness. Migraines can sometimes be triggered by changes in the body, including those that occur during or after an illness.

Given that your headache is specifically triggered by eye movement, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious conditions, particularly if your symptoms persist or worsen. An eye examination may also be warranted to ensure that there are no underlying ocular issues contributing to your symptoms.

In summary, while your headache could be related to the recent cold and the associated muscle tension or sinus issues, it is essential to seek medical advice to rule out any serious complications. Keeping a detailed record of your symptoms, including when they occur and any associated factors, can be helpful for your healthcare provider in making an accurate diagnosis. In the meantime, staying hydrated, resting, and managing any pain with over-the-counter medications may provide some relief.

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