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Updated: Jan 3, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Palinopsia Accompanied with Migraine Attack After Having Occipital Brain Abscess

Yutaro Takayama1, Junya Iwata1, Akio Kojima1

  • 1Department of Neurosurgery, Hiratsuka Kyosai Hospital, Hiratsuka, Kanagawa, Japan.

Neuro-Ophthalmology (Aeolus Press)
|November 20, 2019
PubMed

Insights

Palinopsia, a visual disturbance, occurred in a migraine patient after an occipital lobe lesion healed. This suggests a migraine-prone brain may increase susceptibility to visual phenomena after brain injury.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Neurology

Background:

  • Palinopsia is characterized by persistent visual images after stimulus removal.
  • Migraine and occipital lobe lesions are independently known causes of palinopsia.

Observation:

  • A 55-year-old male with a history of migraine developed a right occipital lobe abscess.
  • Following the healing of the occipital lesion, the patient experienced recurrent palinopsia episodes coinciding with migraine attacks.

Findings:

  • The co-occurrence of palinopsia with migraine attacks post-lesion healing challenges single-factor explanations.
  • A potential interaction between a pre-existing migraine predisposition and a subsequent occipital insult is hypothesized.

Implications:

  • Migrainous brains may exhibit heightened cortical sensitivity, predisposing individuals to secondary neurological insults.
  • This case highlights the complex interplay between neurological conditions and the potential for novel symptom presentation.
Keywords:
Cortical irritabilitymigrainous brainoccipital lesionrecurrent visual images

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