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Persistent neurologic sequelae of migraine: a case report
Abstract:
Multiple cerebral infarctions occurred in a 32-year-old man with both basilar artery and hemiplegic migraine. One event was associated with decrement of propranolol dosage. Platelet aggregation, coagulation studies, and other laboratory studies were normal. Computerized tomography revealed several areas of both old and new infarction. The relationship of the migraine attacks to the brain infarcts remains circumstantial, but migraine was the only identifiable cause of the infarcts in this patient.
Insights
A young man experienced multiple cerebral infarctions linked to hemiplegic migraine. This rare condition, potentially exacerbated by propranolol dosage changes, highlights migraine as a possible cause of stroke.
Area of Science:
- Neurology
- Vascular Neurology
- Neuroscience
Background:
- Cerebral infarctions are typically associated with vascular risk factors.
- Migraine, particularly hemiplegic migraine, is an uncommon cause of ischemic stroke.
- Basilar artery involvement suggests potential for severe neurological events.
Observation:
- A 32-year-old male presented with multiple cerebral infarctions.
- The patient had a history of basilar artery migraine and hemiplegic migraine.
- One infarction event coincided with a reduction in propranolol dosage.
Findings:
- Computerized tomography confirmed both old and new infarcts in the brain.
- Standard laboratory tests including platelet aggregation and coagulation studies were unremarkable.
- No other identifiable cause for the cerebral infarcts was found.
Implications:
- This case suggests a potential causal link between hemiplegic migraine and cerebral infarction.
- The role of migraine in stroke etiology warrants further investigation.
- Clinical management of migraine patients, especially those with basilar or hemiplegic subtypes, should consider stroke risk.