Abstract
The occurrence of long lasting focal neurological deficit as a complication of migraine is well known.
A high incidence of C.T. scan abnormalities have been seen in subjects affected by severe complicated migraine; in some cases such lesions had the aspect of cerebral infarction. In this report we will relate case of a 29 year old woman with complicated migraine and multifocal suffering within the area of the hind brain circulation.
The hypodense area we found with C.T. in the left cerebellar hemishpere and the reversibility of this lesion could support the hypothesis of focal edema in our case.
Sommario
L'instaurarsi di un deficit neurologico focale come complicanza dell'emicrania è evento ben conosciuto. Un'alta incidenza di C.T. anormali è stata vista nei pazienti affetti da una emicrania complicata grave. In alcuni casi la lesione ha assunto l'aspetto di un infarto cerebrale. Nel nostro studio riferiamo di donna di 20 a. con emicrania complicata e sofferenza multifocale nell'area del circolo cerebrale posteriore. L'area ipodensa da noi trovata con la TAC nell'emisfero cerebellare sn. e la reversibilità della lesione potrebbe avvalorare l'ipotesi di un'edema focale.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bousser M.G., Baron J.L., Iba-Zizen M.T., Comar D., Cabanis E., Castaigne P.:Migrainous cerebral infarction: a tomographic study of cerebral blood flow oxygen extraction fraction with the oxygen-15 inhalation technique. Stroke: 11,2, 145–148, 1980.
Cohen R.J., Taylor J.R.:Persistent neurologic sequelae of migraine: a case report. Neurology: 29, 1175–1177, 1979.
Dorfman L.J., Marshall W.H., Enzmann D.R.:Cerebral infarction and migraine: clinical and radiologic correlations. Neurology: 29, 317–322, 1979.
Rascol A., Cambier J., Guiraud B., Manelfe C., David J., Clanet M.:Accidents ishémiques cérébraux au cours de crises migraineuses, Rev. Neurol.: 135, 12, 867–884, 1979.
Saudeau D., Lamarde P., Odier F., Autret A.:Migraine compliquée, épilepsie et hjpodensité tomodensitometrique. Rev. Neurol.: 138, 10, 787–790, 1982.
Hungerford G.D., Du Boulay G.H., Zilkha K.J.:Computerized axial tomography in patients with severe migraine: a preliminary report. J. Neurol. Neurosurg. Psych.: 39, 990–994, 1976.
Cala L.A., Mastaglia F.L.:Computerized axial tomography findings in group of patients with migrainous headaches. Proc. Austr. Assoc. Neurol.: 13, 35–41, 1976.
Boisen E.:Strokes in migraine; report on seven strokes associated with migraine attacks. Dan. Med. Bull.: 22, 100–106, 1975.
Connor R.C.R.:Complicated migraine: a study of permanent neurological and visual defects caused by migraine. Lancet: 2, 1072–1075, 1962.
Davis-Jones A., Gregory M.C., Whitty C.W.M.:Permanent sequelae in the migraine attack. Background to migraine. Fifth Migraine Symposium, JN Cumings path. Ed.: 40–44, 1972.
Murphy P.J.:Cerebral infarction in migraine. Neurology: 5, 359–361, 1955.
Pearce J., Foster J.B.:An investigation of complicated migraine. Neurology: 15, 333–340, 1965.
O'Brien M.D.:Cerebral blood changes in migraine. Headache: 10, 139–143, 1971.
Olesen J., Larsen B., Lauritzen M.:Focal hyperemia followed by spreading oligoemia and impaired activation of rCBF in classic migraine, Ann. Neurol.: 9,344–352, 1981.
Sakai F., Meyer J.S.:Regional cerebral hemodynamics during migraine and cluster headache measured by the 133 Xe inhalation method. Headache: 18, 122–132, 1978.
Simard D., Paulson O.B.:Cerebral vasomotor paralysis during migraine attack. Arch. Neurol.: 29, 207–209, 1973.
Skinhj E.:Hemodynamic studies within the brain during migraine. Arch. Neurol.: 29, 95–98, 1973.
Couch J.R., Hassanein R.S.:Platelet aggregability in migraine. Neurology: 27, 843–848, 1977.
Deshmukh S.V., Meyer J.S.:Cyclic changes in platelet dynamics in migraine. Neurology: 26, 347, 1976.
Deshmukh S. V., Meyer J.S.:Cyclic changes in platelet dynamics and the pathogenesis and prophylaxis of migraine. Headache: 17, 101–108, 1977.
Hilton B.P., Cumings J.N.:5-hydroxytryptamine levels and platelet aggregation responses in subjects with acute migraine headache. J. Neurol. Neurosurg. Psych.: 35, 505–509, 1972
Kalendowsky Z., Austin J.H.:“Complicated migraine”. Its association with increased platelet aggregability and abnormal plasma coagulation factors. Headache: 15, 18–35, 1975.
Kalendowsky Z., Austin J.H.:Changes in blood clotting systems during migraine attacks. Headache: 16, 293–312, 1977.
Houser O.W., Campbell J.K.:Computerized tomography in cerebrovascular disease: influences of morphology, topography, clinical factors and temporal profile. Cerebrovascular disease, J. Moossy and O.M. Reinmuth Eds., Raven Press, New York: 181–188, 1981.
Mathew N.T.:Computerized axial tomography in migraine. Current Concepts in Migraine Research R. Green Ed., Raven Press, New York: 63–72, 1978.
Jain S., Ahuja G.K.:Unusual transient high and low density C.T. lesion in Migraine: a case report. Head 26, 19–21, 1986.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Meco, G., Bozzao, L., Formisano, R. et al. Complicated migraine: case report. Ital J Neuro Sci 9, 291–294 (1988). https://doi.org/10.1007/BF02334057
Issue Date:
DOI: https://doi.org/10.1007/BF02334057