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Internal carotid occlusion associated with migraine syndrome: a case study of a 22-year-old female
G Micieli1, D Bosone, C Tassorelli
1Autonomic Unit and Neurovascular Diagnostics, University of Pavia, Italy.
Abstract:
Migraine and migraine-like headaches are sometimes associated with acquired types of carotid artery disease. We examined a 22-year-old female suffering from periodic migraine, sometimes with "atypical" features. Color Flow Duplex Sonography revealed an occlusion of the right internal carotid artery (ICA) and a possible severe stenosis of the cervical segment of the left ICA. Digital Subtraction Angiography combined with Angio-Magnetic Resonance Imaging and Echographic Imaging suggested the possibility of a fibromuscular dysplasia involving both ICAs. It is suggested that some atypical features of headache could represent symptoms of a carotid pathology.