Related Experiment Videos
[Cerebral hemorrhage in migraine]
J C Gautier1, A Majdalani, J B Juillard
1Service d'Urgences Cérébrovasculaires, La Salpêtrière, Paris.
Revue Neurologique
|January 1, 1993
Summary
Intracerebral hemorrhage during a migraine is extremely rare. This case report examines this unusual association, reviewing existing literature on cerebral bleeds during migraine attacks.
Area of Science:
- Neurology
- Neuroscience
- Vascular Neurology
Background:
- Migraine is a common neurological disorder.
- Intracerebral hemorrhage (ICH) is a serious condition, typically associated with hypertension.
- The co-occurrence of ICH and migraine is exceptionally rare.
Observation:
- A 62-year-old woman with a history of migraine experienced intracerebral hemorrhage.
- The patient was normotensive, and her angiograms showed no abnormalities.
- This represents one of the few documented cases of ICH during a migraine episode.
Findings:
- Analysis of this case and six previously reported cases suggests ICH during migraine is a rare event.
- Potential mechanisms, including recirculation in infarcted tissue and dissecting aneurysms, are considered.
- The absence of hypertension and normal angiograms in this case challenge typical ICH risk factors.
Implications:
- This case highlights a rare but severe complication of migraine.
- Further research is needed to understand the pathophysiology linking migraine and intracerebral hemorrhage.
- Recognition of this association is important for differential diagnosis in patients presenting with stroke-like symptoms during a migraine.