Rare Complications of Migraine With Aura

Plato, Brian M.

doi:10.1111/head.12879

Cited by 11 publications

(13 citation statements)

References 51 publications

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“…Treatment strategies also need to take into account patients’ co-morbidities, vascular risk factors, and drug interactions. Given that pro-thrombotic alterations and platelet activation are presumed to play a role in MI, it is generally recommended that antiplatelet therapy be initiatedto prevent ischemic events 2…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, the brain of migraineurs is more vulnerable to ischemia even after a mild and transient hypoxic state 27. The triggering of a chain reaction of detrimental processes including prolonged vasoconstriction due to reduced nitric oxide, increased extracellular K + , and endothelial ion channel/pump dysfunction eventually lead to vasospasm2 and brain infarction 66. CSD may also induce the release of inflammatory mediators, vasoactive peptides, and adhesion molecules, which predisposes to intravascular thrombosis 50…”

Section: Discussionmentioning

confidence: 99%

“…The International Classification of Headache Disorders (ICHD), Third Edition (beta version) defines migrainous infarction (MI) as a stroke developing during an attack of migraine with aura together with neuroimaging evidence of infarction in a relevant area 1. MI is a rare condition, accounting for approximately 0.5–1.5% of all ischemic strokes, although this fraction may be as high as 13% in young people with cerebral ischemia, with an estimated incidence of 0.8 per 100,000 individuals 2,3. MI is more common in women and in the posterior vascular territory (70.6%) and usually causes small strokes (64.7%), while multiple lesions are observed in 41.2% of cases 3…”

Section: Introductionmentioning

confidence: 99%

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<p>Migrainous Infarction And Cerebral Vasospasm: Case Report And Literature Review</p>

Vinciguerra¹,

Cantone²,

Lanza³

et al. 2019

JPR

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Migrainous infarction (MI) is a rare complication of migraines that accounts for 0.5–1.5% of all ischemic strokes. Although the pathogenesis of MI is still debated, cortical spreading depression and the consequent biochemical cascade and hemodynamic changes are presumed to play an important role. Here we describe a case of MI and systematically review the literature on the complex and possibly bidirectional relationship between migraine and stroke. A 44-year-old female with history of migraine with visual aura presented at the Emergency Department due to a sudden onset of left limb paresis and hypoesthesia. Brain magnetic resonance imaging revealed right fronto-parietal ischemic stroke. Two days after hospitalization, the patient experienced a prolonged visual aura and showed ultrasound evidence of intracranial artery vasospasm. To date, there have been 33 published articles on a total 119 patients with MI, although intracranial vasospasm has rarely been reported. Sustained hyperexcitability of cortical neurons, impairment of γ-aminobutyric acid inhibitory circuitry, altered serotonergic transmission, release of vasoconstrictive molecules, and cerebral blood flow changes have been proposed as pathogenic mechanisms of MI. The present case provides insight into the pathophysiological link between stroke and migraine, thus aiding clinicians in therapeutic decision-making although additional studies are needed to clarify the clinical, neuroradiological, and ultrasound findings that link MI and stroke-related migraine.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Migrainous Infarction And Cerebral Vasospasm: Case Report And Literature Review</p>

Vinciguerra¹,

Cantone²,

Lanza³

et al. 2019

JPR

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“…The fi rst group of patients experiences their aura as being very similar to the classic migraine aura, only lasting much longer. The second group of patients describes the visual snow as mentioned above (4,5). In our study, we dealt with PAWI patients describing their pathological symptoms in accordance with visual snow symptoms.…”

Section: Introductionmentioning

confidence: 99%

Can repetitive transcranial magnetic stimulation of the visual cortex ameliorate the state of patients with visual snow?

Grey¹,

Klobušiaková²,

Minks³

2020

BLL

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AIMS: Visual snow is a neurological condition, for which an effective treatment has not been established. The aim of this study was to fi nd whether Repetitive Transcranial Magnetic Stimulation (rTMS) can improve the state of patients suffering from visual snow. To our knowledge, no other group has tested this method in the treatment of visual snow. METHODS: We applied rTMS of 10 and 10+1 Hz on the visual cortices of 9 patients with visual snow. Sham stimulation with the vertex as the target site was also tested. As a method of assessment, we used visual evoked potentials, questionnaires and visual snow diaries. For data evaluation, we used the Paired Sample T-test separately for each stimulation type. RESULTS: The Paired Sample T-test revealed a decreased sum of visual snow intensities extracted from visual snow diaries in the week after 10+1 Hz stimulation as compared to the fi gure in the week before (p =0.02). CONCLUSION: We detected a trend indicating an improvement of patients' condition based on the data from visual snow diaries. Research on a larger group of patients is required to confi rm these fi ndings; however, our study provides a framework to build upon (Tab. 4, Fig. 1, Ref. 22).

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“…человек в популяции в год [4]. Согласно дан ным M. E. Wolf и B. M. Plato, мигренозные ин фаркты чаще в 70.6 % возникают в заднем сосуди стом бассейне при мигрени со зрительной аурой, в 64.7% случаев это малые инсульты, в 40,1 % име ется множественная локализация [5,6]. Наиболее частый симптом, в 82.3 % предшествующий раз витию острого мигрень-ассоциированного инсуль таэто зрительная аура [7].…”

Section: Introductionunclassified

Features of Diagnostics and Rehabilitation of Тне Patients With Migraine Infarction

Савчук

Shcherbinina²,

Savchuk³

2020

Herald of Physiotherapy and Health Resort Therapy

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The relationship of migraine and stroke has long been known. Migraine infarction is a rare complication of migraine and accounts for 0.2-0.5 % of all cases of ischemic strokes. This complication most often develops in women in the vertedro-basilary vascular system. Despite the widespread prevalence of migraine in the population, there is a tendency to underestimate the role of migraine in the development of cerebral infarction and, as a result, the lack of recommendations for the treatment and rehabilitation of this category of patients. The purpose of this article is to describe the clinical case of the diagnosis and rehabilitation of a patient with a migraine stroke. During rehabilitation of patients with migraine infarction, it is necessary to use, in addition to traditional rehabilitation methods: kinesiotherapy, exercise therapy, physiotherapy, rehabilitation methods aimed at preventing the development of migraine attacks, which improves the quality of life of this category of patients.

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Rare Complications of Migraine With Aura

Cited by 11 publications

References 51 publications

<p>Migrainous Infarction And Cerebral Vasospasm: Case Report And Literature Review</p>

<p>Migrainous Infarction And Cerebral Vasospasm: Case Report And Literature Review</p>

Can repetitive transcranial magnetic stimulation of the visual cortex ameliorate the state of patients with visual snow?

Features of Diagnostics and Rehabilitation of Тне Patients With Migraine Infarction

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