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- mitochondrial disorders
- muscle disease
- cerebrovascular disease
A 26-year-old woman presented to the neurology clinic with gradual onset of headache for 8 years. Her headaches were initially bifrontal, episodic and would last for a few hours and then dissipate completely. About 12 months ago, her headache gradually worsened and could be triggered by bending over. The headache was more bearable when standing upright and occurred on a daily basis. The patient was diagnosed with Klippel–Trenaunay–Weber syndrome since childhood. She had no family history of Klippel–Trenaunay–Weber syndrome or any other familial genetic diseases. About 5 years ago, the patient presented to an ophthalmic clinic reporting difficulty with distance vision. A small myopic astigmatic refractive correction improved vision from 6/9 to 6/4.5 in both eyes. As an asymptomatic finding, there were …
Competing interests None.
Patient consent Obtained.
Ethics approval The Ethics committee of the Royal Melbourne Hospital.
Provenance and peer review Not commissioned; externally peer reviewed.