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Atypical Chronic Headache and Recurrent Facial Ecchymosis: A Case Report
1Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois, USA.
Neuro-Ophthalmology (Aeolus Press)
|August 29, 2018
Summary
A woman experienced chronic headaches and facial bruising. The case suggests a rare trigeminal autonomic cephalalgia variant, highlighting unusual symptoms in primary headache disorders.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Investigating rare headache disorders and associated symptoms.
- Understanding the presentation of trigeminal autonomic cephalalgia (TAC) variants.
Observation:
- A 57-year-old woman presented with chronic, unilateral, sharp, electric shock-like headaches.
- Recurrent facial ecchymoses, primarily in the periorbital and epicanthal regions, were noted.
- Standard neurological and ophthalmological examinations, along with a skin biopsy, were unremarkable.
Findings:
- The headache presentation was atypical, challenging classification within established categories.
- Symptoms suggested a variant of trigeminal autonomic cephalalgia (TAC).
- The headache showed a lack of responsiveness to indomethacin, a common treatment for some TACs.
Implications:
- This case expands the spectrum of symptoms associated with primary headache disorders.
- It prompts further investigation into the pathophysiology linking facial ecchymosis and cephalalgias.
- Understanding atypical TAC presentations is crucial for accurate diagnosis and management.
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