Migraine-like Headache after Transseptal Puncture for Catheter Ablation: A Case Report and Review of the Literature

Kato, Yukio; Hayashi, Takeshi; Kato, Ryuichi; Takao, Masaki

doi:10.2169/internalmedicine.2519-18

Cited by 8 publications

(13 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6 In a case series with 571 patients that had received TSC during catheter ablation, 2 patients presented with visual symptoms in the first month after the procedure. 8 At the time of diagnosis, most patients with retinal migraine were less than 40 years old. However, since no further episodes occurred, the ICHD-3 diagnostic criteria for retinal migraine (requiring at least 2 attacks with monocular visual disturbances) were not met.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with the literature with a reported delay to first migraine attacks after TSC of less than a week in most cases and spontaneous remission within 3 months. 8 At the time of diagnosis, most patients with retinal migraine were less than 40 years old. 6 Vasospasms have been proposed to be a possible contributor or epiphenomena in retinal migraine.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Richmond

Schneider²,

Steffel

et al. 2019

Headache

View full text Add to dashboard Cite

Background.-While new-onset migraine headaches and binocular visual aura have been reported after transseptal catheterization (TSC), this case suggests that retinal aura may emerge also after this procedure.Case Description.-This 38-year-old male with paroxysmal atrial fibrillation had received TSC and cryoablation, and subsequently developed isolated monocular aura phenomena. The first episode happened a few hours after the intervention and was not accompanied by headache or other aura phenomena. The patient's history was negative for migraine. Brain magnetic resonance imaging demonstrated 2 lacunar diffusion restrictions in the left medial cerebral artery territory that were most likely catheterization related. Over the next 14 days, 3 additional, stereotyped episodes (duration = 20-30 minutes) with zigzag lines and flickering small bright dots in the central visual field of one eye (moving laterally) occurred. A central scotoma was noted during one episode.Conclusions.-This is the first case with retinal aura phenomena meeting International Classification of Headache Disorders diagnostic criteria for retinal migraine, suggesting that this rare migraine variant can be triggered by TSC.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Richmond

Schneider²,

Steffel

et al. 2019

Headache

View full text Add to dashboard Cite

show abstract

“…Of the 53 "nonstructural" cases, 13 fulfilled ICHD criteria for MWA (Figure 2). 65,66,68,72,77,82,83,86,87,92,98 In these cases, aura was assumed to be caused by cardiac myxoma (n = 1), viral meningitis (n = 1), head trauma (n = 1, severity not reported), idiopathic intracranial hypertension (n = 1), neurosyphilis (n = 1), cerebral venous thrombosis (n = 1), stellate ganglion block (n = 1), cardiac ablation (n = 4), and the presence of prosthetic heart valves (n = 2). Aura was associated with headache in all cases and preceded the headache in nine.…”

Section: Cases-nonstructuralmentioning

confidence: 99%

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

et al. 2021

View full text Add to dashboard Cite

Objective To determine if a clinical presentation indistinguishable from migraine can occur due to an underlying condition or pathology, that is, "symptomatic migraine." Background It is currently not clear whether migraine truly can be caused by an underlying condition or pathology. Characterization of the etiology and clinical features of possible symptomatic migraine is of significant clinical importance and further may help elucidate the pathophysiology of migraine. Methods We devised operational diagnostic criteria for “symptomatic migraine” and “possible symptomatic migraine” requiring strong evidence for a causal relation between underlying cause and migraine symptoms adhering strictly to diagnostic criteria. PubMed was searched for case reports of symptomatic migraine from inception to March 2020. Only articles published in English or German were included. No restrictions were placed on study design. Relevant references in the articles were also included. Papers were systematically reviewed by two independent reviewers for detailed clinical features of migraine as well as the proposed underlying conditions and the effects of treatment of these conditions. Results Our search retrieved 1726 items. After screening, 109 papers comprising 504 cases were reviewed in detail. Eleven patients with migraine with aura (MWA) fulfilled our working criteria for symptomatic migraine, and 39 patients fulfilled our criteria for possible symptomatic migraine. The most common etiologies of symptomatic migraine were arteriovenous malformations, carotid stenosis, dissection or aneurysm, brain infarctions, meningioma, and various intra‐axial tumors. Conclusions Symptomatic MWA, indistinguishable from idiopathic MWA, may occur due to cortical lesions or microembolization. We found no clear evidence supporting the existence of symptomatic migraine without aura although we did identify possible cases. Our findings are limited by the available literature, and we suggest that prospective studies are needed.

show abstract

“…Acute (i.e. predischarge) complications were monitored and analyzed prospectively in accordance with the HRS/EHRA guidelines, published systematic reviews and other studies focused on specific complications of single-shot methods [7][8][9][10][11][12]. Long-term complications were determined on the basis of out-patient visits and/or final telephone conversation.…”

Section: Follow-up and Study Endpointsmentioning

confidence: 99%

Outcomes of atrial fibrillation ablation program based on single-shot techniques

Jastrzębski

Kiełbasa

Fijorek

et al. 2020

pwki

View full text Add to dashboard Cite

Introduction Single-shot techniques such as cryoballoon and multipolar phased pulmonary vein ablation catheter (PVAC) are an alternative to the point-by-point radiofrequency method for atrial fibrillation (AF) ablation. However, there is a lack of data concerning sequential use of single-shot techniques, that is, for both the index and redo ablation. Aim To assess long-term outcomes of the ‘single-shot techniques only’ AF ablation strategy. Material and methods We analyzed all consecutive AF ablations performed over a 10-year period (2009–2019) in a center where a ‘single-shot technique only’ principle was followed from the start of the AF ablation program. Kaplan-Meier AF-free survival curves were calculated and complications were assessed on the basis of our prospectively maintained database. Results A total of 597 patients (62.4 ±12.5 years) with paroxysmal (78.1%) or persistent (21.9%) AF entered the study and 655 AF ablation procedures were performed. In 96.5% of redos ( n = 58) a different technique (mostly PVAC) was used than for the index ablation (mostly cryoballoon). The Kaplan-Meier estimates of 1, 2 and 5 years freedom from AF were 78.2%, 69.2%, and 56.0%, for the index ablation, and 80.3%, 76.1% and 68.3%, for the redo, respectively. The minor and major complication rates were 8.1%, and 4.0%, respectively. Conclusions An AF ablation program based solely on sequential use of two different single-shot techniques for both index and redo procedures is safe and effective. These observations might have important practical implications for new operators/centers starting AF ablation programs and for use of single-shot techniques for redo procedures.

show abstract

Migraine-like Headache after Transseptal Puncture for Catheter Ablation: A Case Report and Review of the Literature

Cited by 8 publications

References 17 publications

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Symptomatic migraine: A systematic review to establish a clinically important diagnostic entity

Outcomes of atrial fibrillation ablation program based on single-shot techniques

Contact Info

Product

Resources

About