An unusual headache: Red ear syndrome

Red ear syndrome is a rare entity characterized by paroxysmal unilateral or bilateral painful attacks to the external ear that are accompanied by ear redness, burning, or warmth. Swelling is rare [1]. RES episodes are generally isolated, but they can also occur with primary headaches as migraine among young patients or with trigeminal autonomic headaches among the elderly. Currently, there are no medications with approved efficacy. A study has proposed the use of gabapentin, amitriptyline, or non-steroidal anti-inflammatory drugs, but with poor results [2]. Familiarization with RES presentation symptoms is important to recognize this relatively new disease, thus avoiding delayed diagnosis and mistreatment.