Skip to main content

Advertisement

SpringerLink
Log in

Migrainous infarction in an adult: evaluation with serial diffusion-weighted images and cerebral blood flow studies

  • Case Report
  • Published:
Radiation Medicine Aims and scope Submit manuscript

Abstract

We report the case of a 64-year-old man with migrainous infarction, giving special attention to chronological changes in neuroimaging findings. Five days after the onset, diffusion-weighted imaging showed slightly high intensity, and the apparent diffusion coefficient map showed increased diffusion in the right occipital lobe, which indicated vasogenic edema. Perfusion magnetic resonance imaging (MRI) and MR angiography demonstrated hyperperfusion of the ipsilateral hemisphere. Follow-up MRI showed irreversible brain damage. These images may reflect chronological changes in cerebral edema due to prolonged hyperperfusion with migraine.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalagia 1988;8:35–38.

    Article  Google Scholar 

  2. Welch KM, Levine SR. Migraine-related stroke in the contex of the International Headache Society classification of head pain. Arch Neurol 1990;47:458–462.

    PubMed  CAS  Google Scholar 

  3. Jäger HR, Giffin NJ, Goadsby PJ. Diffusion-and perfusion-weighted MR imaging in persistent migrainous visual disturbances. Cephalalgia 2005;25:323–332.

    Article  PubMed  Google Scholar 

  4. Kruit MC, van Buchem MA, Hofman PA, Bakkers JTN, Terwindt GM, Ferrai MD, et al. Migraine as a risk factor for subclinical brain lesions. JAMA 2004;291:427–434.

    Article  PubMed  CAS  Google Scholar 

  5. Schäbits WR, Fisher M. Diffusion weighted imaging for acute cerebral infarction. Neurol Res 1995;17:270–274.

    Google Scholar 

  6. Kim EY, Ryoo JW, Roh HG, Lee KH, Kim SS, Song IC, et al. Reversed discrepancy between CT and diffusion-weighted MR imaging in acute ischemic stroke. AJNR Am J Neuroradiol 2006;27:1990–1995.

    PubMed  CAS  Google Scholar 

  7. Bkey TA, Uhl M, Carew J, Markl M, Schmidt D, Peter HH, et al. Diagnostic value of high-resolution MR imaging in giant arteritis. AJNR Am J Neuroradiol 2007;28:1727–1727.

    Google Scholar 

  8. Masuzaki M, Utsunomiya H, Yasumoto S, Mitudome. A case of hemiplegic migraine in childhood: transient unilateral hyperperfusion revealed by perfusion MR imaging and MR angiography. AJNR Am J Neuroradiol 2001;22:1795–1797.

    PubMed  CAS  Google Scholar 

  9. Lindahl AJ, Allder S, Jefferson D, Allder S, Moody A, Martel A. Prolonged hemiplegic migraine associated with unilateral hyperperfusion on perfusion weighted magnetic resonance imaging. J Neurol Neurosurg Psychiatry 2002;73:202–203.

    Article  PubMed  CAS  Google Scholar 

  10. Lindner A, Reiners K, Toyka KV. Meningeal hyperperfusion visualized by MR in a patient with visual hallucinations and migraine. Headache 1996;36:53–57.

    Article  PubMed  CAS  Google Scholar 

  11. Crawford JS, Konkol RJ. Familial hemiplegic migraine with crossed cerebellar diaschisis and unilateral meningeal enhancement. Headache 1997;37:590–593.

    Article  PubMed  CAS  Google Scholar 

  12. Smith M, Cros D, Sheen V. Hyperperfusion with vasogenic leakage by fMRI in migraine with prolonged aura. Neurology 2002;58:1308–1309.

    PubMed  Google Scholar 

  13. Hayashi R, Tachikawa H, Watanabe R, Honda M, Katsumata Y. Familial hemiplegic migraine with irreversible brain damage. Intern Med 1998;37:166–168.

    Article  PubMed  CAS  Google Scholar 

  14. Barbour PJ, Castaldo JE, Shoemaker EI. Hemiplegic migraine during pregnancy: unusual magnetic resonance appearance with SPECT scan correlation. Headache 2001;41:310–316.

    Article  PubMed  CAS  Google Scholar 

  15. Pande AR, Ando K, Ishikura R, Nagami Y, Takada Y, Wada A, et al. Clinicoradiological factors influencing the reversibility of posterior reversible encephalopathy syndrome: a multicenter study. Radiat Med 2006;24:659–668.

    Article  PubMed  Google Scholar 

  16. Abe K, Yoshimura H, Tanaka H, Fujita N, Hikita T, Sakoda S. Comparison of comventional and diffusion-weighted MRI and proton MR spectroscopy in patients with mitochondrial encephalomyopathy, lactic acidosis, and stroke-like events. Neuroradiology 2004;46:113–117.

    Article  PubMed  CAS  Google Scholar 

  17. Lansberg MG, O’Brien MW, Norbash AM, Moseley ME, Morrell M, Albers GW. MRI abnormalities associated with partial status epilepticus. Neurology 1999;52:1021–1027.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neuroradiology, Hakujyuji Hospital, 3-2-1 Ishimaru, Nishi-ku, Fukuoka, 814-0180, Japan

    Syouichi Arai

  2. Department of Radiology, Fukuoka University School of Medicine, Fukuoka, Japan

    Hidetsuna Utsunomiya

  3. Department of Cerebrovascular Disease, Hakujyuji Hospital, Fukuoka, Japan

    Shoji Arihiro & Shuji Arakawa

Authors
  1. Syouichi Arai
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hidetsuna Utsunomiya
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shoji Arihiro
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shuji Arakawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Syouichi Arai.

About this article

Cite this article

Arai, S., Utsunomiya, H., Arihiro, S. et al. Migrainous infarction in an adult: evaluation with serial diffusion-weighted images and cerebral blood flow studies. Radiat Med 26, 313–317 (2008). https://doi.org/10.1007/s11604-008-0226-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-008-0226-y

Key words

Search

Navigation