Related Experiment Video
Updated: Jun 15, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
[A case of cavernous angioma presenting as migrainous attack]
Yohtaro Sakakibara1, Yoshio Taguchi, Kazuyoshi Uchida
1Division of Neurosurgery, Department of Neurosurgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki-shi, Kanagawa 216-8511, Japan.
No Shinkei Geka. Neurological Surgery
|March 17, 2010
Summary
A cavernous angioma mimicking migraine symptoms was successfully treated with surgical removal. This case highlights the importance of considering brain lesions in headache and visual disturbance diagnoses.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Migraine and seizure-associated headaches can present with similar visual disturbances and throbbing head pain.
- Differentiating these conditions is clinically challenging.
Observation:
- A 40-year-old male experienced progressive visual impairment and throbbing headaches, initially diagnosed as migraine.
- Despite migraine treatment, symptoms persisted, including visual aura-like phenomena.
- Magnetic resonance imaging revealed a cavernous angioma in the left temporooccipital lobe.
Findings:
- The patient underwent surgical removal of the cavernous angioma with intraoperative electroencephalogram monitoring.
- Post-surgery, the patient's headache and visual symptoms resolved completely.
Implications:
- Cavernous angiomas and other space-occupying lesions should be considered in the differential diagnosis of patients presenting with headache and visual symptoms.
- Accurate diagnosis is crucial for effective treatment and preventing progressive neurological deficits.
Related Concept Videos
01:26Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
01:17Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
01:26Arteries of the Head and Neck
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:22Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...