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[Severe migraine accompagnée with computer tomographic findings]
Fortschritte Der Neurologie-Psychiatrie
|October 1, 1984
Summary
Migraine accompagnée, a severe migraine type, can cause temporary neurological deficits like Jacksonian seizures. This case study highlights a patient experiencing these symptoms, emphasizing the need for thorough diagnosis to rule out other conditions.
Area of Science:
- Neurology
- Neuroscience
Background:
- Migraine accompagnée is characterized by transient neurological deficits during migraine attacks.
- Current theories link these focal signs to transient ischemic events in cerebral vasculature.
Observation:
- A 24-year-old woman experienced severe migraine with three Jacksonian attacks and diverse cerebrovascular neurological signs.
- She had a history of migraine with familial links and presented with mental anomalies.
Findings:
- Computerized tomography revealed a frontal-paramedial area with indistinct borders, lacking contrast enhancement.
- All neurological symptoms, including Jacksonian attacks, resolved over time.
Implications:
- This case underscores the importance of considering migraine accompagnée in patients with complex neurological symptoms during a migraine attack.
- Extensive diagnostic workup, including angiography, is crucial to exclude other pathologies and confirm the diagnosis.