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[Basilar migraine].

H Walser, H Isler

    Schweizerische Medizinische Wochenschrift
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Basilar migraine presents with headache and neurological symptoms, but severe consciousness disturbances can complicate diagnosis. Standard migraine treatments apply, with steroids considered for brain edema in severe cases.

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    Area of Science:

    • Neurology
    • Neuroscience

    Background:

    • Basilar migraine is a distinct migraine subtype characterized by specific neurological symptoms.
    • It typically presents with headache accompanied by visual, cerebellar, and brainstem disturbances.

    Observation:

    • Severe disturbances of consciousness can occasionally occur, complicating the diagnosis of basilar migraine.
    • Diagnostic challenges necessitate ruling out more severe neurological conditions.

    Findings:

    • Diagnostic procedures such as CT scans, electroencephalography, and lumbar punctures are essential for differential diagnosis.
    • Treatment for basilar migraine aligns with general migraine therapies.

    Implications:

    • Conventional migraine prophylactic drugs are not indicated for patients experiencing severe consciousness disturbances.
  • Corticosteroid therapy may be beneficial or necessary for managing associated brain edema in severe basilar migraine cases.