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Migrainous infarction involving two different arterial territories: report of two cases

Sung-Chun Tang1, Jiann-Shing Jeng, Hon-Man Liu

  • 1Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.

Acta Neurologica Taiwanica
|August 19, 2004
PubMed

Insights

Migrainous infarction, a rare condition, can affect various brain artery territories. This study presents two cases of ischemic stroke occurring during migraine attacks, highlighting the diverse arterial involvement in migrainous infarction.

Area of Science:

  • Neurology
  • Neuroscience
  • Vascular Neurology

Background:

  • Migrainous infarction is a rare complication of migraine with aura.
  • Previous reports on the specific arterial territories involved are limited.
  • Understanding the vascular patterns is crucial for diagnosis and management.

Observation:

  • Two patients with a history of migraine with aura experienced ischemic strokes during migraine attacks.
  • A 29-year-old female patient had strokes in the posterior cerebral and anterior choroidal artery territories.
  • A 47-year-old male patient experienced sequential strokes in the middle and posterior cerebral artery territories.

Findings:

  • Migrainous infarction can manifest in distinct and multiple cerebral arterial territories.
  • The cases illustrate the potential for varied vascular involvement in migrainous infarction.
  • Both patients showed good recovery during follow-up.

Implications:

  • This suggests migrainous infarction is not limited to specific vascular territories.
  • Further research is needed to elucidate the mechanisms and prevalence of migrainous infarction across different arterial territories.
  • Clinical awareness of diverse presentations is important for diagnosing and managing migrainous infarction.

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