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[A case of isolated cerebral angiitis with sequential angiographic changes]
O Fukuda1, M Nishijima, J Nakada
1Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Japan.
No Shinkei Geka. Neurological Surgery
|January 1, 1988
Summary
Migraine headaches may involve dynamic changes in cerebral arteries, as seen in a rare case with transient hemiparesis. Careful angiographic observation is crucial for diagnosing and managing complex migraine cases.
Area of Science:
- Neurology
- Vascular Neurology
- Neuroimaging
Background:
- Migraine pathogenesis remains incompletely understood, with theories involving intracranial vasoconstriction and cranial vessel dilation.
- Interpreting radiographic findings in migraine patients presents challenges despite advancements in angiographic techniques.
Observation:
- A rare case of migraine with transient hemiparesis presented with dynamic changes in cerebral arteries on sequential angiography.
- Initial angiography revealed right M1 portion narrowing, followed by reduced narrowing and right angular artery occlusion, then increased M1 stenosis.
Findings:
- Sequential angiographic changes suggested isolated angiitis of the central nervous system, prompting steroid therapy.
- Despite treatment, the patient experienced worsening hemiparesis, necessitating EC-IC bypass surgery.
Implications:
- This case highlights the importance of meticulous sequential angiographic monitoring in complex migraine presentations.
- Dynamic vascular changes in migraine patients may indicate underlying inflammatory or occlusive processes requiring specialized intervention.