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Revista chilena de pediatría

Print version ISSN 0370-4106

Abstract

LOPEZ, Mauricio; HUETE, Isidro  and  HERNANDEZ, Marta. Venous angiomas and headache in children: A case report. Rev. chil. pediatr. [online]. 2016, vol.87, n.4, pp.284-287. ISSN 0370-4106.  http://dx.doi.org/10.1016/j.rchipe.2015.12.003.

Introduction: Venous angiomas (VA) are benign entities; however infrequent symptomatic cases may occur. Objective: Case report and literature review. Case report: 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.

Keywords : Venous angioma; Headache; Paediatrics; Developmental venous anomaly; Tension-type headache.

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