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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Related Experiment Video

Updated: Sep 11, 2025

Author Spotlight: Noninvasive Cerebral Blood Flow Determination in Human Functional Brain Region for Diagnosis of Neurological Disorders
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Arterial Spin Labelling Perfusion Changes in Persistent Migrainous Aura Without Infarction.

Bhadra Sajeev Nair1,2, Vandana Sudheer3, Boby Varkey Maramattom2

  • 1Medicine, Malankara Orthodox Syrian Church Medical College Hospital, Kolenchery, Ernakulam, IND.

Cureus
|August 18, 2025
PubMed
Summary
This summary is machine-generated.

Persistent migraine aura symptoms lasting over a week can be non-invasively assessed using Arterial Spin Labelling (ASL) MRI. This technique detects reversible cerebral blood flow changes, distinguishing migraine aura from ischemic events.

Keywords:
arterial spin labelling (asl)cortical spreading depolarizationmigraine disorderscintillating scotomavisual aura

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Area of Science:

  • Neurology
  • Neuroimaging
  • Medical Diagnostics

Background:

  • Migraine is a prevalent neurological disorder causing recurrent headaches, often with aura symptoms like visual disturbances.
  • Migrainous aura without infarction describes prolonged aura symptoms without evidence of brain damage on imaging.
  • Arterial Spin Labelling (ASL) is a non-invasive MRI technique for quantifying cerebral blood flow.

Observation:

  • This case report focuses on persistent migrainous aura symptoms exceeding one week.
  • The study utilized ASL MRI to monitor cerebral perfusion changes during the migraine cycle.
  • ASL imaging revealed reversible perfusion abnormalities associated with the persistent aura.

Findings:

  • Arterial Spin Labelling (ASL) effectively detected reversible perfusion changes in persistent migrainous aura.
  • These perfusion changes aided in differentiating migrainous aura from ischemic stroke.
  • The findings suggest ASL can provide insights into migraine pathophysiology, potentially related to cortical spreading depression.

Implications:

  • ASL MRI offers a valuable non-invasive tool for diagnosing and managing persistent migrainous aura.
  • This technique can help clinicians distinguish migraine aura from more serious conditions like infarction.
  • Understanding perfusion dynamics through ASL may lead to improved therapeutic strategies for migraine.