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Complicated retinal migraine

L E Inan1, H Uysal, U Ergün

  • 1Neurology Department, Ankara State Hospital, Turkey.

Headache
|January 1, 1994
PubMed
Summary

Retinal migraine, a visual disturbance, can rarely lead to permanent vision loss. This case highlights a young woman who developed persistent visual field defects after a retinal migraine attack, indicating potential serious complications.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Vascular Medicine

Background:

  • Retinal migraine is characterized by transient monocular visual disturbances.
  • Permanent sequelae following retinal migraine are considered rare in clinical practice.

Observation:

  • A 23-year-old female patient with a 5-year history of retinal migraine experienced persistent left nasal quadranopsia post-migraine attack.
  • Diagnostic workup included fluorescein angiography, revealing a branch retinal arterial occlusion.

Findings:

  • The persistent visual field defect, diagnosed as left nasal quadranopsia, has lasted for eleven months.
  • Branch retinal arterial occlusion was confirmed as the cause, with other potential etiologies excluded through laboratory testing.

Implications:

  • This case underscores the potential for permanent visual impairment following retinal migraine.
  • Highlights the importance of thorough investigation for vascular events in persistent visual field defects post-retinal migraine.

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