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2.1
Migrainous Stroke
Migraine with Ischaemic Complication

Presentation

[…] symptoms were not part of the crises previously presented. [ncbi.nlm.nih.gov]

Eyes

  • 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]

    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]

    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]

Neurologic

  • Stroke

    Patients with a history of migraine-associated stroke are at significantly increased risk for recurrent stroke. [ncbi.nlm.nih.gov]

    Considered a complication of migraine, these strokes are very rare, accounting for approximately 0.2 percent to 0.5 percent of all ischemic strokes, a type of stroke that occurs when you lose blood supply to your brain. [verywell.com]

  • 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]

  • 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]

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]

"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]

You'll have the same diagnostic workup and treatment as anyone of your age with ischemic stroke would. [verywell.com]

However, in most patients with stroke of unknown origin, a typical diagnostic workup will unveil most of these conditions. [ahajournals.org]

Treatment

You'll have the same diagnostic workup and treatment as anyone of your age with ischemic stroke would. [verywell.com]

The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]

Additional treatments of acute ischemic strokes vary according to the underlying cause. [cedars-sinai.edu]

We report a case of migraine-associated ischemic stroke causing amnesia, wherein treatment with propranolol may have been contributory. [ncbi.nlm.nih.gov]

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]

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]

Includes an overview of stroke types, risk factors, prognosis, and diagnostic strategies in neonates, children, and young adults to help you better manage every condition you see. [elsevier.com]

Etiology

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]

Contributions of epidemiology to our understanding of migraine. Headache. 2013 ; 53 (2): 230-46. Granella F, Sances G, Pucci E, Nappi RE, Ghiotto N, Napp G. Migraine with aura and reproductive life events: a case control study. [medigraphic.com]

Dittrich First published December 1, 1993, DOI: https://doi.org/10.1212/WNL.43.12.2473 Abstract We compared epidemiologic and clinical data from 310 patients with migraine and 30 patients with acute migrainous stroke to identify factors predictive of [neurology.org]

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]

Migraine in Women provides discussions on epidemiology, pathogenesis, options for preventative therapy, and headache management strategies. [books.google.ro]

Pathophysiology

Newsroom – Published on: November 29, 2019 A recent case study of a patient with a history of migraine with visual aura revealed a pathophysiological link between stroke and migraine, demonstrating the need for additional research that links migrainous [ajmc.com]

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]

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]

Prognosis Responsive prevention and treatment of migraine is incredibly important. [ninds.nih.gov]

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]

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