A 54-year-old man complained of an attack of severe pain in the right side of the face. He had experienced similar attacks at 43 and 50 years old. The pain attack started as neuralgic pain in the first trigeminal division and was immediately followed by ipsilateral periocular headache, accompanied by autonomic signs, such as conjunctival injection, nasal stuffiness and drooping eyelid. The neuralgic pain was triggered by tactile stimulation of the eyebrow. Carbamazepine and stellate ganglion block diminished the intensity and frequency of attacks. Supraorbital nerve block was effective in stopping the attack immediately.