| Prolonged cortical electrical depression and diffuse vasospasm without ischemia in a case of severe hemiplegic migraine during pregnancy. | |
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MedLine Citation:
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PMID: 12864763 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The pathophysiology of the neurological deficits in hemiplegic migraine remains unclear. Both neurogenic and vascular etiologies have been proposed to explain this phenomenon. We present the case of a patient with hemiplegic migraine in whom there was no diffusion weighted magnetic resonance imaging evidence of cerebral ischemia, despite persistent left hemiplegia and diffuse vasospasm on cerebral angiography, there was no diffusion weighted magnetic resonance imaging evidence of cerebral ischemia. In addition, hypoperfusional changes were seen diffusely, more so on the less symptomatic hemisphere, whereas depression of cortical electrical activity was seen for several days on the right side. These findings support the notion that although both neurogenic and vascular changes occur in hemiplegic migraine, the former seems to be a more likely explanation for the neurological deficits. |
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Authors:
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Pedro Gonzalez-Alegre; Jon Tippin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Headache Volume: 43 ISSN: 0017-8748 ISO Abbreviation: Headache Publication Date: 2003 Jan |
Date Detail:
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Created Date: 2003-07-16 Completed Date: 2003-09-02 Revised Date: 2009-02-02 |
Medline Journal Info:
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Nlm Unique ID: 2985091R Medline TA: Headache Country: United States |
Other Details:
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Languages: eng Pagination: 72-5 Citation Subset: IM |
Affiliation:
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Department of Neurology, University of Iowa College of Medicine, Iowa City, IA 52242, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brain / physiopathology* Child Female Hemiplegia / etiology, physiopathology* Humans Magnetic Resonance Imaging Migraine with Aura / complications, physiopathology* Pregnancy Pregnancy Complications / physiopathology* Vasospasm, Intracranial / physiopathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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