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KMID : 0911820110120010074
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Korean Journal of Headache
2011 Volume.12 No. 1 p.74 ~ p.76
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Two Cases of Migraine with Epistaxis
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Lee Jun-Beom
Kim Kwang-Hoon
Baek Ki-Hoon
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Abstract
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We report two cases of migraine accompanying epistaxis. These attacks of epistaxis are not explained by reasons other than migraine attack. A 49-year-old woman had migraine with epistaxis for 6 years. She had nasal plastic surgery 15 years ago but rhinoscopy revealed no focal bleeding focus on Kisselbach plexus. Blood tests including platelet count and coagulation factors were normal. We prescribed her daily dose of acetaminophen 975 mg along with dichloralphenazone 300 mg and isometheptene mucate 195 mg. The incidence and severity of migraine reduced and epistaxis did not relapse. A 19-year-old woman had migraine attack once every one or two days for one month and experienced accompanying epistaxis one third of the frequency of headache attacks. Brain computed tomography, rhinoscopy, platelet count and coagulation factor tests were normal. Epistaxis following migraine attacks did not relapse after daily dose of acetaminophen 1,875 mg. These cases suggest that migraine with epistaxis shares same pathophysiology.
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KEYWORD
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Migraine, Epistaxis
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