Presentation
[…] symptoms were not part of the crises previously presented. [ncbi.nlm.nih.gov]
Respiratoric
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Pharyngitis
In children, it’s related to infections such as sinusitis, tonsillitis or pharyngitis, and requires immediate antibiotics. [stroke.org]
[…] cardiomyopathies, endocarditis, prosthetic valves]) Hematologic disorders (sickle cell disease, prothrombotic states [acquired thrombophilia, genetic thrombophilia], iron deficiency, hematological malignancy) Infection (varicella, HIV, meningitis/encephalitis, pharyngitis [ncbi.nlm.nih.gov]
Eyes
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Scintillating Scotoma
Migraine aura can be what is called scintillating scotoma (the moving, shimmery flickering visual hallucination), or simply a blind spot (scotoma). The migraine scintillating scotoma is often depicted in migraine aura art. Thanks for reading! [relieve-migraine-headache.com]
The Varying Frequency of Migraines, and Health Risks I have had migraine equivalents (aura without headache) once or twice a year for the last 20 years: I get a scintillating scotoma that fades within half an hour. [consults.blogs.nytimes.com]
Two days after hospitalization, the patient experienced a prolonged episode of visual aura characterized by a “fortification spectrum” with a “zigzag-type” figure and scintillating scotoma. [dovepress.com]
A fortification spectrum is common or a spreading, scintillating scotoma in the shape of a jagged crescent. Geometric visual patterns and even hallucinations may occur. This is fully reversible. An aura has no motor symptoms. [patient.info]
Aura is experienced in 30% of patients up to 60 minutes prior to onset of headache and is commonly described as a shimmering arc of white or colored lights in lateral visual fields (scintillating scotoma) commonly followed by zone of vision loss (negative [clinicaladvisor.com]
Neurologic
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Stroke
Patients with a history of migraine-associated stroke are at significantly increased risk for recurrent stroke. [ncbi.nlm.nih.gov]
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Dysmetria
[…] with INO and lead to anatomic localization are: (i) normal eye convergence (since the fibers responsible for the convergence are cranially located in the midbrain); (ii) nystagmus in adduction of the non-paretic eye;6 and (iii) sensitive and/or motor dysmetria [ncbi.nlm.nih.gov]
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Dysphasia and Aphasia
Basilar symptoms may present with dysphasia or aphasia causing difficulty with speech. Pain may be ipsilateral or contralateral to symptoms and on rare occasions there is a loss of consciousness. [physio-pedia.com]
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Homonymous Hemianopsia
Homonymous hemianopsia as the presenting sign of migrainous infarction. Can J Ophthalmol. 2018;53(6):e229–32. doi:10.1016/j.jcjo.2018.01.007 29. Khardenavis V, Karthik DK, Kulkarni S, et al. [dovepress.com]
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Oscillopsia
She had a history of migraine with aura presenting with visual sensations (oscillopsia and photopsia), although she had also experienced attacks without aura, especially during her adolescence. [dovepress.com]
Workup
All had undergone a dedicated stroke workup including diffusion-weighted imaging (DWI) and a detailed assessment of clinical features and of vascular risk factors. [neurology.org]
You'll have the same diagnostic workup and treatment as anyone of your age with ischemic stroke would. [verywell.com]
"This does not mean if you have a migraine you should run into the ER for a heart attack workup or a stroke workup," Lyden tells WebMD. It does mean those with migraine should be aware of the potential increased risk, he says. [medicinenet.com]
Treatment
We report a case of migraine-associated ischemic stroke causing amnesia, wherein treatment with propranolol may have been contributory. [ncbi.nlm.nih.gov]
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
You'll have the same diagnostic workup and treatment as anyone of your age with ischemic stroke would. [verywell.com]
Additional treatments of acute ischemic strokes vary according to the underlying cause. [cedars-sinai.edu]
Prognosis
December 01, 1993 ; 43 (12) Articles Risk factors and prognosis J. Rothrock, J. North, K. Madden, P. Lyden, P. Fleck, H. [neurology.org]
The functional prognosis of migrainous stroke is good, with minimal risk of relapse Keywords Migraine Pregnancy Stroke Classified in Cefalea y Migraña - Dolor - Patología vascular You may be interested [neurologia.com]
Stroke in children: clinical characteristics and prognosis. Acta Paediatr Scand. 1983;72(3):391-5. PMid:6880725. . 13. Riela AR, Roach ES. Etiology of stroke in children. J Child Neurol. 1993;8(3):201-20. PMid:8409261. . 14. Gold AP, Carter S. [autopsyandcasereports.org]
Prognosis Responsive prevention and treatment of migraine is incredibly important. [ninds.nih.gov]
The headaches are usually recurrent, and although RCVS can result in strokes or hemorrhage, most cases have a good prognosis. The classic diagnosis to think of with thunderclap headaches is a subarachnoid hemorrhage. [headachejournal.org]
Etiology
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
The etiology of central nervous system (CNS) ischemia is considerable. Migraine, although rare, also may be included in this vast etiological range, which is called migrainous infarction. [ncbi.nlm.nih.gov]
Epidemiology
Abstract We compared epidemiologic and clinical data from 310 patients with migraine and 30 patients with acute migrainous stroke to identify factors predictive of migrainous stroke and assess the risk of future stroke in these two populations. [ncbi.nlm.nih.gov]
Dittrich First published December 1, 1993, DOI: Abstract We compared epidemiologic and clinical data from 310 patients with migraine and 30 patients with acute migrainous stroke to identify factors predictive of migrainous stroke and assess the risk of [neurology.org]
Considering geographical differences in reported epidemiology and improving patients care, the aim of the present study was to evaluate epidemiologic, demographic and clinical characteristics in patients with migraine headache in Arak. [semanticscholar.org]
MI in childhood is very rare and epidemiological studies are scarce2. Reports of incidence of migrainous stroke in this group range from 0.5%2 to 1.7%3. [scielo.br]
In spite of the strong epidemiologic evidence linking migraine and ischemic stroke in young adults, the mechanisms explaining this association remain poorly understood. [hindawi.com]
Pathophysiology
Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke. [books.google.com]
Migrainous infarction is a rare complication of migraine with aura, and its pathophysiology is poorly understood. [ndcn.ox.ac.uk]
[…] function. [4] The reduction in migraine might simply be attributed to the damaged cortex’s reduction in excitability to external stimuli, and the effect on spreading cortical depression. [5] Could the authors comment on the possibility that migraine pathophysiology [n.neurology.org]
Prevention
Prevention It's important to take preventative measures and make any necessary lifestyle changes that can help lower your chance of having migrainous infarction. [verywell.com]
The goals of treatment are to prevent life-threatening complications that may occur soon after stroke symptoms develop, prevent future strokes, reduce disability, prevent long-term complications and help the patient get back as much normal functioning [cedars-sinai.edu]
Stay up to date on hot topics such as mechanisms of action of commonly used drugs, neuronal angiogenesis and stem cells, basic mechanisms of spasm and hemorrhage, prevention of stroke, genetics/predisposing risk factors, and much more. [books.google.com]