Stroke, migraine and intracranial aneurysm: a case report

Stroke; a Journal of Cerebral Circulation
J L MasJ Chiras

Abstract

A man had since childhood recurrent attacks typical of ophthalmic migraine. After an otherwise unremarkable attack, he was left with a permanent quadrantanopsia due to a right occipital infarct. The remarkable pattern of progression, which characterized the visual phenomenon of subsequent attacks, favours a primary neuronal phenomenon. The first angiography revealed an occlusion of the posterior cerebral artery (PCA) but the second one, performed two years later, disclosed a PCA aneurysm. Such a finding emphasizes the need of thorough and repeated evaluations of patients with so-called "migrainous infarcts."

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Citations

Aug 20, 2005·Lancet Neurology·Marie-Germaine Bousser, K Michael A Welch
Apr 12, 2013·The Journal of Headache and Pain·Elena R LebedevaJes Olesen
Feb 1, 1995·Cephalalgia : an International Journal of Headache·C Wöber-BingölH Scheidinger
Mar 1, 1988·Journal of Clinical Neuro-ophthalmology·T P DowhanP A Aitken

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