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  • Open Access

Migraine associated with facial ecchymoses ipsilateral to the symptomatic side

  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1Email author
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches5:136

  • Received: 8 March 2004
  • Accepted: 12 July 2004


The following is the case of a 55-year-old woman showing palpebral ecchymoses ipsilateral to the symptomatic side during migraine episodes. The lesions are not associated with oedema or other vegetative manifestations. A possible pathogenic mechanism hypothesised is a dermal diapedesis of erythrocytes due to neurogenic inflammation following trigeminovascular activation during migraine crises.

Key words

  • Migraine
  • Palpebral ecchymoses


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