| Abstract [eng] |
Headache is a common condition among children, adolescents and young adults that can have negative consequences for quality of life, social activity and even careers. Headaches are classified into primary and secondary headaches. Migraine is one of the primary headaches and accounts for the majority of headaches that are most disruptive to daily life. Migraine in children differs in clinical presentation compared to adults, and in childhood it may not manifest itself as a headache at all, but as an episodic syndrome that may be associated with migraine. Paediatricians diagnosing headache in children also have the task of differentiating it from acute dangerous conditions or headache associated with another somatic disease. Although migraine is the primary headache, a change in its frequency or intensity may be associated with a secondary pathology. We report a clinical case of a 17-year-old female patient with a history of increasing frequency of migraine attacks with aura, who was diagnosed with Osler-Weber-Rendu syndrome, also known as hereditary haemorrhagic telangiectasia, after a thorough examination. It is a rare autosomal dominant inherited disorder characterised by nasal bleeding, telangiectasias in the skin and mucous membranes and arteriovenous malformations in the viscera, which can lead to haemorrhage and other complications. It is not exactly known but there are hypotheses as to how hereditary haemorrhagic telangiectasia, especially arteriovenous malformations, and migraine could be related. Treatment of hereditary haemorrhagic telangiectasia may also lead to relief or reduction of migraine symptoms. |
