Ataxia & Episodic Facial Swelling & Headache: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Ataxia, Episodic Facial Swelling, Headache,

Negated

None

Unsure

None

Possible Causes

Hereditary Angioedema Type 3

All impeded androgens have many potentially important side effects, including masculinization, headaches, lack of libido or increased libido, hair gain or loss, liver function [clinicaladvisor.com]

In this context one or more episodes of isolated angioedema may occur, mostly as a facial swelling. [aacijournal.biomedcentral.com]

Some symptoms of hereditary angioedema include: Swelling of the skin (most common symptom) Swelling of the hands and feet Fatigue Headache Muscle aches Skin tingling Abdominal [medicinenet.com]

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Basilar Migraine

[…] thunderclap headaches; hypnic headaches; and new daily persistent headaches. [books.google.com]

Mutations in the CACNA1A gene on chromosome 19 have been associated with a variety of clinical disorders, including familial hemiplegic migraine type 1 and episodic ataxia [ncbi.nlm.nih.gov]

There is usually tenderness and swelling over the carotid artery in the neck. Episodes can occur several times weekly and last a few minutes to hours. [healthcommunities.com]

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Angioedema

The most common adverse drug reactions are injection site reactions, upper respiratory infections, headache, rash, muscle pain, dizziness, and diarrhea. [medscape.com]

Six months later, the patient had an episode of bilateral facial swelling, lip swelling, and difficulty breathing. [hoajonline.com]

[…] you find yourself feeling drowsy, you should avoid: driving drinking alcohol operating complex or heavy machinery Other side effects of the newer antihistamines include: headache [hse.ie]

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Hereditary Angioedema

Severities were aggravated by activity and his headache had shown recent progression with abdominal pain. [ncbi.nlm.nih.gov]

Episodes of severe headaches, visual disturbances (eg, blurred vision, diplopia), and ataxia have been reported. [emedicine.medscape.com]

The patient reports several episodes of mild facial swelling that occurred during childhood between the ages of 5-18, but he does not recall seeing a physician or receiving [step1.medbullets.com]

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Migraine

What is a migraine headache? A migraine headache is a type of headache that tends to recur in an individual and causes moderate to severe pain. [my.clevelandclinic.org]

Florey Institute of Neuroscience and Mental Health, Melbourne, Australia; Cerebellar Ataxia Clinic, Neuroscience Department, Alfred Health, Melbourne, Australia. [ncbi.nlm.nih.gov]

There is usually tenderness and swelling over the carotid artery in the neck. Episodes can occur several times weekly and last a few minutes to hours. [healthcommunities.com]

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Coxsackievirus Infection

Stiff neck, headache, and pain related to bright lights (photophobia) are signs of meningitis. [healthychildren.org]

Neurological involvement associated with enterovirus 71 infection may include: Aseptic meningitis Encephalitis Encephalomyelitis Acute cerebellar ataxia Acute transverse myelitis [dermnetnz.org]

She denied any chest pain, facial or leg swelling, weakness, headache, or dizziness. [hindawi.com]

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Cluster Headache

Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders: 2nd edition. [doi.org]

A subsequent similar headache attack was also associated with ipsilateral arm ataxia and gait ataxia. [ncbi.nlm.nih.gov]

Facial sweating, nasal congestion, drooping eyelids (ptosis), and eyelid swelling (edema) are also common. [rarediseases.org]

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Carotid Artery Aneurysm

Subarachnoid hemorrhage usually causes photophobia, intense headache, meningismus signs or fainting. [symptoma.com]

Episodes of transient blindness, syncope, swelling neck and pulsating tinnitus may also occur. [patient.info]

Symptoms Frequent and severe headaches. [bookinghealth.com]

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Carotid Artery Dissection

A 56-year-old man presented for evaluation of right-sided headache and pain behind his right eye. [mdedge.com]

Per paramedics: field neurologic examination was notable for gait ataxia and right lower extremity weakness. [emdocs.net]

Episodes of transient blindness, syncope, swelling neck and pulsating tinnitus may also occur. [patient.info]

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Systemic Scleroderma

TMD symptoms (muscle pain on chewing, difficulty in mouth opening, headaches) were complained by 92.5% of SSc patients and by 76.2% of controls (χ² 8.012 p 0.005). [ncbi.nlm.nih.gov]

adj sclerot ic. familial centrolobar sclerosis a progressive familial form of leukoencephalopathy marked by nystagmus, ataxia, tremor, parkinsonian facies, dysarthria, [medical-dictionary.thefreedictionary.com]

Increasingly severe episodes of RP, recurrent digital swelling and gastro-oesophageal reflux were also reported. [rheumatology.oxfordjournals.org]

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Mucopolysaccharidosis

She was 12 years old and had refractory headaches. [ncbi.nlm.nih.gov]

Patient 8 had one episode of facial swelling without urticaria during the infusion at week 47. [nejm.org]

Hydrocephalus may occasionally present clinically with intracranial hypertension symptoms such as headache, vomiting, and high sight impairment. [ncbi.nlm.nih.gov]

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Vertebral Artery Aneurysm

The headache and aneurysm were both right sided suggesting a possible relationship. [ncbi.nlm.nih.gov]

A 72-year-old woman presented with headaches, ataxia, and lower extremity weakness. A giant 3-cm right vertebral artery aneurysm was found during the patient evaluation. [ncbi.nlm.nih.gov]

Episodes of transient blindness, syncope, swelling neck and pulsating tinnitus may also occur. [patient.info]

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Orthostatic Intolerance due to NET Deficiency

headaches. [web.archive.org]

Dysmetria on finger-nose testing c). essential tremor d). gait ataxia e). [forums.studentdoctor.net]

Two weeks after the second injection she began to experience a “flu-like” episode that continued for about a week and was followed by facial swelling, streptococcal infection [hormonesmatter.com]

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Mucopolysaccharidosis 3

They may have cavities or chipped teeth from weak enamel and headaches from accumulated fluid pressure on the brain. [jonahsjustbegun.org]

facial features and frequent episodes of otitis media [ 23 ]. [rheumatology.oxfordjournals.org]

The most common adverse events with ERT are infusion-related hypersensitivity reactions that can be characterized by flushing, headache, pyrexia or urticaria. [rheumatology.oxfordjournals.org]

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Traumatic Pneumocephalus

Headache Classification Committee of the International Headache Society. [cambridge.org]

ataxia (88%) and pyra- ent’. 191 The diagnostic conundrum becomes really midal signs (76%). [pubhtml5.com]

He reported a right sided facial swelling and pain following a mid-air collision with another player two hours earlier. [intjem.springeropen.com]

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Fibromuscular Hyperplasia of the Carotid Artery

vertigo 16 55 f Headache 17 51 f Headache 18 62 f Headache 19 42 M Transient ischemic attack 20 62 f Transient ischemic attack 21 40 f Headache The color Doppler examinations [cardiovascularultrasound.biomedcentral.com]

No ataxia was present, and gait was not assessed. Laboratory results are contained in Table 3. [ispub.com]

Episodes of transient blindness, syncope, swelling neck and pulsating tinnitus may also occur. [patient.info]

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Melkersson-Rosenthal Syndrome

We report a case of CG associated with migraine-like headaches in a 44-year-old woman. [ncbi.nlm.nih.gov]

ハースト Hirst phenomenon ハースト現象 His ヒス His bundle ヒス束 Hodgkin ホジキン Hodgkin's granuloma ホジキン肉芽腫 ThomasHodgkin （1798 - 1866） Britishphysician and pathologists Holmes ホームズ Holmes cerebellar [jams.med.or.jp]

In recent months, the patient had experienced numerous episodes of facial swelling, affecting his upper lip and gums and was subsequently referred to neurology. [jnnp.bmj.com]

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Rosacea

The ... read more Cluster Headaches: Painful but Treatable, Preventable Nov. 18, 2016 — Often called the suicide headache because of the excruciating intensity of the pain [sciencedaily.com]

Ataxia-Telangiectasia is a rare multisystem autosomal recessive disorder [OMIM 208900], caused by mutations in Ataxia-Telangiectasia Mutated gene. [ncbi.nlm.nih.gov]

Rosacea can develop gradually, as mild episodes of facial blushing. Over time, flushing may lead to a permanently red face. [laserandskin.ie]

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Familial Recurrent Peripheral Facial Palsy

Familial Mediterrenean fever is a common disease in the Turkish population but neurological involvement such as headache, myalgia, demyelinationg lesions, aseptic meningitis [jpedres.org]

ataxia Autosomal dominant cerebellar ataxia type I Autosomal dominant cerebellar ataxia type II Autosomal dominant cerebellar ataxia type III Autosomal dominant cerebellar [se-atlas.de]

Melkersson-Rosenthal is characterized by facial paralysis, episodic facial swelling, and a fissured tongue (scrotal tongue or lingua plicata) and typically begins in adolescence [ispub.com]

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Facial Nerve Paralysis of the Newborn

[…] paroxysmal hemicrania) 만성 송이두통(Chronic cluster headache)) 우발성 송이 두통(Episodic cluster headache) G44.1 달리 분류되지 않은 혈관성 두통(Vascular headache, NEC) 혈관성 두통(Vascular headache) NOS [dic.impact.pe.kr]

Tone maintained  Drooping corner of mouth  Slight flattening of nasolabial fold.  No muscle atrophy/ fasciculation  Total facial palsy  No FND  No hemiplegia  No ataxia [slideshare.net]

Other causes are enzootic ataxia, inherited congenital paraplegias in calves and pigs, spina bifida and spinal dysraphism and occipito-alanto-axial malformations in foals [medical-dictionary.thefreedictionary.com]

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Ophthalmoplegic Migraine

Recurrent painful ophthalmoplegic neuropathy (RPON), formerly named ophthalmoplegic migraine (OM), is a rare condition characterized by the association of unilateral headaches [ncbi.nlm.nih.gov]

ataxia FLVCR1 Ataxia, posterior column, with retinitis pigmentosa FMR1 Premature ovarian failure FXN Friedreich ataxia GBA2 Cerebellar ataxia with spasticity GFAP Alexander [genda.com.ar]

There is usually tenderness and swelling over the carotid artery in the neck. Episodes can occur several times weekly and last a few minutes to hours. [healthcommunities.com]

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Holmes-Adie Syndrome

She abandoned treatment after developing headache as a side effect of the drug. [scielo.br]

First-order neuron lesions  Hemisensory loss  Dysarthria  Dysphagia  Ataxia  Vertigo  Nystagmus 8. [de.slideshare.net]

Depending on the area of swelling, pain can be absent or mild, as in most peripheral or facial swelling, or it can be very severe, as in gastrointestinal angioedema. [intranet.tdmu.edu.ua]

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Neurilemmoma

She also complained of headaches but had no other features of raised intracranial pressure. [jnnp.bmj.com]

[…] neuroma can also sometimes cause: persistent headaches temporary blurred or double vision numbness, pain or weakness on 1 side of the face problems with limb co-ordination (ataxia [nhs.uk]

A physical examination revealed normal soft tissue of the oral cavity, and no facial swelling, percussion pain, or mobility of the molar teeth in the right mandible was noted [ajnr.org]

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Mucopolysaccharidosis 2

Pressure from these fluids can cause other problems that may cause severe headaches, interfere with vision and change your child's mental state. [mayoclinic.org]

Hunter Syndrome, a problem when a person rotates their head and causes circulation ischemia in the dominant vertebral artery that produces attacks of vertigo, nystagmus and ataxia [medicinenet.com]

Symptoms included nodular soft-tissue masses located around joints, with episodes of painful swelling of the masses and pain that ended spontaneously within 3 days. [en.wikipedia.org]

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Hereditary Congenital Facial Paresis Type 1

Are there systemic symptoms – headache, meninigsmus, papilledema, rash (typical Lyme rash)? Did the facial palsy occur during warm months? [clinicaladvisor.com]

Disease Type of connection Precursor B-cell acute lymphoblastic leukemia Aniridia - cerebellar ataxia - intellectual deficit Autosomal dominant keratitis Foveal hypoplasia [csbg.cnb.csic.es]

Melkersson-Rosenthal Syndrome Patients with Melkersson-Rosenthal syndrome develop a combination of recurring facial paralysis, facial swelling, and cracks in the tongue. [masseyeandear.org]

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Rapidly Progressive Glomerulonephritis

The diagnosis of PRES was based on the presence of clinical features such as headache, altered mental status, visual disturbances and seizures with positive radiological findings [ukm.pure.elsevier.com]

Blue rubber bleb nevus syndrome in a patient with ataxia and dementia. J Geriatr Psychiatry Neurol 2002; 15: 7-11. 7. [czytelniamedyczna.pl]

facial and leg swelling over the previous year. [sjkdt.org]

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Familial Cluster Headache

[…] secondary chronic cluster headache, and his 73-year-old paternal grandfather with episodic cluster headache. [ncbi.nlm.nih.gov]

玉岡晃 American Journal of Pathology/152/p.1633-1640, 1998-01 Downbeat nystagmus in two siblings with spinocerebellar ataxia type 6(SCA6) 玉岡晃 J Neurol Sci/160/p.161-163, 1998 [trios.tsukuba.ac.jp]

Facial sweating, nasal congestion, drooping eyelids (ptosis), and eyelid swelling (edema) are also common. [rarediseases.org]

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Mucopolysaccharidosis 4A

The most common side effects reported during VIMIZIM infusions included fever, vomiting, headache, nausea, abdominal pain, chills, and fatigue. [vimizim.com]

A Alpha-mannosidosis (MAN2B1) Andermann syndrome (SLC12A6) Aspartylglucosaminuria (AGA) Ataxia telangiectasia (ATM) Ataxia with vitamin E deficiency (TTPA) B Bloom syndrome [umcg.nl]

Symptoms included nodular soft-tissue masses located around joints, with episodes of painful swelling of the masses and pain that ended spontaneously within 3 days. [en.wikipedia.org]

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Frasier Syndrome

[…] weakness and fatigue loss of appetite fever blood in their urine or discoloration of their urine high blood pressure, which may cause chest pain, shortness of breath, and headaches [healthline.com]

[…] telangiectasia Chain200 Ataxia Telangiectasia T-cell Prolymphocytic Leukemia, Somatic Chain201 Ataxia Telangiectasia Variant Chain202 Ataxia Telangiectasia without Immunodeficiency [sequencing.com]

[…] and facial puffi-ness. [cyberleninka.org]

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Mucopolysaccharidosis 4

The most common side effects reported during Vimizim infusions included fever, vomiting, headache, nausea, abdominal pain, chills, and fatigue. [biomarin.com]

Familial adenomatous polyposis ( FAP ) and attenuated FAP (AFAP) F ibrodysplasia ossificans progressiva F ragile X mental retardation syndrome, fragile X-associated tremor/ataxia [gfhev.de]

Symptoms included nodular soft-tissue masses located around joints, with episodes of painful swelling of the masses and pain that ended spontaneously within 3 days. [en.wikipedia.org]

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