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Migraine and vertebrobasilar ischemia.

L R Caplan1

  • 1New England Medical Center, Department of Neurology, Boston, MA 02111.

Neurology
|January 1, 1991
PubMed
Summary

Basilar artery migraine can lead to serious stroke events, affecting a wide age range. This condition requires careful monitoring due to variable presentation and potential for temporary basilar artery occlusion.

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Area of Science:

  • Neurology
  • Vascular Neurology

Background:

  • Migraine is a common neurological disorder.
  • Posterior circulation ischemia involves the brainstem and cerebellum.
  • Basilar artery (BA) migraine is a subtype of migraine with brainstem aura symptoms.

Observation:

  • A study examined 9 patients with migraine and posterior circulation ischemia.
  • Inclusion criteria included brainstem/cerebellar infarcts/TIAs, vertebrobasilar angiograms, and migraine.
  • Patients with isolated occipital lobe ischemia or other vascular diseases were excluded.

Findings:

  • Seven of the 9 patients experienced strokes (infarcts) in the brainstem or cerebellum.
  • Angiography revealed basilar artery narrowing or occlusion in 5 patients; occlusion was temporary in 3.
  • Migraine onset occurred before ischemia in 7 patients and after ischemia in 2.

Implications:

  • "Basilar migraine" is not always benign and can lead to significant neurological deficits.
  • The presentation of headaches, transient ischemic attacks, and strokes varies.
  • Basilar artery occlusion can be a feature of basilar migraine and may be reversible.

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