Trigeminal autonomic cephalgia with periorbital ecchymosis, ocular hemorrhage, hypertension and behavioral alterations.
We describe a 38-year-old male in whom severe unilateral headache was associated with marked palpebral edema, periorbital ecchymosis, lacrimation, conjunctival injection, nasal congestion and rhinorrhea. A second, less severe headache form developed subsequently. The patient often presented severe labile hypertension and behavioral disturbances during the crises, and there was an episode of intra-ocular hemorrhage. General, neurological and ophthalmological examinations revealed nothing remarkable. We discuss possible pathogenetic mechanisms and the nosology of this case within the trigeminal autonomic cephalgias.
Attanasio
Angelo
A
Department of Neurology, C. Besta Neurological Institute, Via Celoria 11, 20133 Milan, Italy Department of Neurology, Policlinico S. Pietro, Ponte S. Pietro, Bergamo, Italy Department of Ophthalmology, Scientific Institute S. Raffaele Hospital, Milan, Italy.
D'Amico
Domenico
D
Frediani
Fabio
F
Leone
Massimo
M
Grazzi
Licia
L
Bianchi-Marzoli
Stefania
S
Usai
Susanna
S
Bussone
Gennaro
G
D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D003027:Cluster Headache / Q000150:complications; D004438:Ecchymosis / Q000209:etiology*; D005128:Eye Diseases / Q000209:etiology*; D006261:Headache / Q000150:complications* / Q000503:physiopathology; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D001523:Mental Disorders / Q000209:etiology*; D008881:Migraine Disorders / Q000150:complications; D009916:Orbital Diseases / Q000209:etiology*; D014276:Trigeminal Nerve / Q000503:physiopathology*