Document Detail

Severe diffuse intracranial vasospasm as a cause of extensive migrainous cerebral infarction.
MedLine Citation:
PMID:  8374945     Owner:  NLM     Status:  MEDLINE    
We report on a 47-year-old white female with a long history of recurrent episodes of migraine with aura, who progressed to develop a continuous intractable headache during the course of which cortical blindness and quadriparesis occurred due to extensive and bilateral hemispheric cerebral infarction. Severe diffuse intracranial major arterial vasospasm was demonstrated by arteriogram. All studies were negative for CNS vasculitis, including cerebral biopsy. The arterial spasm reversed itself, but the patient did not improve. Smoking was the only additional risk factor. Vasospasm is an important cause to be considered in migrainous infarctions. The use of vasoconstrictor agents such as DHE in patients with migraine with prolonged aura has to be carefully re-evaluated.
L C Sanin; N T Mathew
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cephalalgia : an international journal of headache     Volume:  13     ISSN:  0333-1024     ISO Abbreviation:  Cephalalgia     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-10-20     Completed Date:  1993-10-20     Revised Date:  2008-02-11    
Medline Journal Info:
Nlm Unique ID:  8200710     Medline TA:  Cephalalgia     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  289-92     Citation Subset:  IM    
Houston Headache Clinic, Texas 77004.
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MeSH Terms
Blindness / etiology
Cerebral Angiography
Cerebral Infarction / diagnosis,  etiology*
Ischemic Attack, Transient / complications*,  diagnosis
Magnetic Resonance Imaging
Middle Aged
Migraine Disorders / diagnosis,  etiology*
Paresis / etiology
Tomography, X-Ray Computed
Comment In:
Cephalalgia. 1993 Aug;13(4):231   [PMID:  8374936 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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