title: [Venous angiomas and headache in children. A case report].
abstract: BACKGROUND
  Venous angiomas (VA) are benign entities; however infrequent symptomatic cases may occur.
  
  
  OBJECTIVE
  Case report and literature review.
  
  
  METHODS
  A 6 year old girl was referred with a history of bi-frontal, non-pulsatile, headache with no nausea or vomiting. Headache intensity was 4-6/10. The episodes were frequent, 3-4 times per week. Triggers include academic work. Computed tomography showed a small VA in left caudate nucleus, which was confirmed by a brain MRI, with no evidence of inflammatory or ischaemic changes, or another vascular malformation. Psychological and psycho-pedagogic techniques were used, combined with relaxation and cognitive-behavioural techniques to reduce the intensity and frequency. There was a good outcome, and the headache decreased to 10 episodes per year. The patient was monitored for 12 years until graduation from high school. The VA remained without complications.
  
  
  CONCLUSIONS
  In the study of a headache, a VA usually is an incidental finding. The International Classification of Headache Disorders III provides specific criteria of frequent episodic tension-type headache, and allows us begin specific therapy for it. Monitoring of non-symptomatic VA cases should be clinical. The surgical management of these entities is exceptional.
authors: Unidad de Neurología Pediátrica, División de Pediatría, Pontificia Universidad Católica de Chile, Chile.
authors: Mauricio
authors: M
authors: López
authors: Departamento de Radiología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile.
authors: Isidro
authors: I
authors: Huete
authors: Unidad de Neurología Pediátrica, División de Pediatría, Pontificia Universidad Católica de Chile, Chile. Electronic address: mhernand@med.puc.cl.
authors: Marta
authors: M
authors: Hernández
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005260:Female; D006261:Headache / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006391:Hemangioma / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*
keywords: Angioma venoso; Anomalía del desarrollo venoso; Cefalea; Cefalea tensional; Developmental venous anomaly; Headache; Paediatrics; Pediatría; Tension-type headache; Venous angioma