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Simultaneous multiple brain hemorrhage associated with migraine--a case report
K Nakamura1, Y Saku, S Ibayashi
1Department of Cerebrovascular Disease, Institute of Neuroscience, St. Mary's Hospital, Kurume, Japan.
Angiology
|June 1, 1997
Summary
Migraine-associated vasospasm may trigger multiple brain hemorrhages, particularly in individuals with cerebral amyloid angiopathy. This case highlights a potential link between migraine complications and intracranial bleeding.
Area of Science:
- Neurology
- Neuroimaging
- Vascular Neurology
Background:
- Migraine is a common neurological disorder.
- Cerebral amyloid angiopathy (CAA) is associated with an increased risk of intracerebral hemorrhage.
- Migraine attacks can be associated with various neurological complications.
Observation:
- A 55-year-old woman experienced sudden occipital headache and visual disturbance post-migraine.
- Neurological examination revealed left homonymous hemianopsia.
- Brain imaging showed bilateral occipital subcortical intracranial hematomas.
Findings:
- Cerebral arteriography demonstrated diffuse intracranial vasospasm, attributed to the migraine.
- Low cerebrospinal fluid cystatin C levels suggested underlying cerebral amyloid angiopathy.
- The patient presented with multiple brain hemorrhages.
Implications:
- Migraine-induced vasospasm may be a critical factor in precipitating multiple brain hemorrhages.
- This case underscores the potential for severe vascular complications in migraine patients, especially those with comorbid conditions like CAA.
- Understanding this association is crucial for managing migraine complications and preventing hemorrhagic events.