Migraine with aura after intracranial endovascular procedures

R Beekman1, P C Nijssen, W J van Rooij

  • 1Departments of Neurology, St. Elisabeth Hospital, Tilburg, The Netherlands; Radiology, St. Elisabeth Hospital, Tilburg, The Netherlands; Neurosurgery, St. Elisabeth Hospital, Tilburg, The Netherlands.

Headache
|April 25, 2001
PubMed
Abstract

Insights

Intracranial endovascular procedures may trigger migraine with aura, a neurological condition. Further research is needed to understand the exact causes of this association.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Medicine

Background:

  • Intracranial endovascular procedures are common interventions for cerebrovascular diseases.
  • Migraine with aura is a complex neurological disorder characterized by transient neurological symptoms preceding a headache.

Observation:

  • This study details three cases where patients developed migraine with aura following intracranial endovascular procedures.
  • Two cases involved migraine with aura after embolization of arteriovenous fistulas or malformations, and one after a diagnostic angiogram.
  • One patient experienced persistent visual field defects (quadrantanopia) post-procedure.

Findings:

  • Intracranial endovascular procedures appear to be a potential trigger for migraine with aura.
  • The precise pathophysiological mechanisms remain unclear, but potential factors include mechanical, chemical, immunological, or hemodynamic influences.

Implications:

  • Clinicians should be aware of the potential for migraine induction after endovascular procedures.
  • Further investigation into the mechanisms underlying procedure-induced migraines may inform preventative or therapeutic strategies.

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