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Basilar artery migraine. Case report.

J V McDonald1

  • 1Division of Neurological Surgery, University of Rochester Medical Center, New York.

Journal of Neurosurgery
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

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Basilar artery migraine can lead to severe cerebellar infarction, causing hydrocephalus and stupor. Prompt surgical intervention, including ventricular shunting and infarct removal, resulted in patient recovery.

Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Basilar artery migraine is a rare type of migraine with aura.
  • Long-term migraine history can be associated with various neurological complications.

Observation:

  • A 40-year-old woman with a 24-year history of basilar artery migraine presented with acute neurological deficits.
  • The patient suffered a large cerebellar infarction during a migraine attack, leading to hydrocephalus and deep stupor.

Findings:

  • Cerebellar infarction secondary to basilar artery migraine is a critical neurological event.
  • Surgical intervention, specifically ventricular shunting and infarct removal, was effective in managing the hydrocephalus and improving the patient's neurological status.

Implications:

  • This case highlights the potential for severe ischemic complications in patients with basilar artery migraine.

Related Experiment Videos

  • Early recognition and neurosurgical management are crucial for improving outcomes in such cases.