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Recurrent paroxysmal headache associated with facial ecchymosis
M Comabella1, F Titus, P Huguet
1Department of Neurology, Hospital General Universitari Vall d'Hebron, Barcelona, Spain.
Cephalalgia : an International Journal of Headache
|August 1, 1996
Summary
A rare case of chronic paroxysmal headache associated with facial ecchymosis is presented. The unusual presentation, potentially linked to migraine, highlights the need for further investigation into headache-induced hemorrhage mechanisms.
Area of Science:
- Neurology
- Dermatology
Background:
- Chronic paroxysmal headache is a debilitating neurological condition.
- Facial ecchymosis, or bruising, is an uncommon symptom in headache disorders.
Observation:
- A 58-year-old man presented with pulsating headaches and facial ecchymoses.
- Headaches were short, sometimes with flashing lights, and ecchymoses appeared with headache reduction.
- Coagulation tests and skin biopsy ruled out bleeding disorders and vasculitis.
Findings:
- The patient's symptoms presented a diagnostic challenge, with some features resembling migraine.
- The association between headache and ecchymosis suggests a potential link between vascular events and superficial bleeding.
- The underlying mechanism of these hemorrhages remains unclear but is explored in the discussion.
Implications:
- This case expands the spectrum of headache presentations and associated symptoms.
- Further research is needed to understand the pathophysiology of headache-induced facial hemorrhages.
- Clinicians should consider rare vascular complications in patients with chronic, severe headaches.