Tavasoli Azita, Rezazadeh Mohammad, Kachuei Maryam
Department of Pediatric Neurology, Iran University of Medical Sciences.
Student Research Committee, Faculty of Medicine, Iran University of Medical Sciences.
Ann Med Surg (Lond). 2024 Oct 16;86(12):7377-7380. doi: 10.1097/MS9.0000000000002655. eCollection 2024 Dec.
This case report documents a rare presentation of eyebrow bleeding occurring during migraine episodes in a 10-year-old girl, highlighting atypical signs associated with the disorder. Despite her normal neurological examinations and imaging studies, the patient experienced recurrent, severe headaches accompanied by localized bleeding and red spots on the forehead. This unusual symptomatology suggests potential underlying neurovascular and neuroinflammatory mechanisms, necessitating heightened awareness among healthcare providers. Following treatment with Coenzyme Q10, Vitamin B2, and Cyproheptadine, both headache frequency and symptom intensity significantly improved. This case underscores the importance of comprehensive evaluation and recognition of uncommon migraine manifestations in clinical practice.
本病例报告记录了一名10岁女孩在偏头痛发作期间出现的罕见眉部出血情况,突出了与该病症相关的非典型体征。尽管患者的神经学检查和影像学研究结果正常,但仍经历了反复发作的严重头痛,并伴有前额局部出血和红斑。这种不寻常的症状表明可能存在潜在的神经血管和神经炎症机制,需要医护人员提高警惕。在用辅酶Q10、维生素B2和赛庚啶治疗后,头痛频率和症状强度均有显著改善。该病例强调了在临床实践中对罕见偏头痛表现进行全面评估和识别的重要性。