Atypical Perfusion Manifestation in Migraine with Aura

Migraine with aura may be confused with a stroke. Magnetic resonance imaging is an important tool for the differential diagnosis. Cerebral hypoperfusion has been described in classic migraine, mainly during the aura. A 47-year-old male had an unremarkable past medical history. After sneezing, he dev...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jacobo Lester, Jesús Carlos Bustamante, Carla García-Moreno, Enrique Klériga
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	migraine aura perfusion Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/63498cb52fb543618c0a041d9332d562
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:63498cb52fb543618c0a041d9332d562
record_format	dspace
spelling	oai:doaj.org-article:63498cb52fb543618c0a041d9332d5622021-11-11T10:40:45ZAtypical Perfusion Manifestation in Migraine with Aura1662-680X10.1159/000519508https://doaj.org/article/63498cb52fb543618c0a041d9332d5622021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519508https://doaj.org/toc/1662-680XMigraine with aura may be confused with a stroke. Magnetic resonance imaging is an important tool for the differential diagnosis. Cerebral hypoperfusion has been described in classic migraine, mainly during the aura. A 47-year-old male had an unremarkable past medical history. After sneezing, he developed a left hemi hypoesthesia, bitemporal vision loss, photopsia, and some distortion in the position of letters and words. This lasted <1 h, and it was followed by a severe headache. A magnetic resonance angiography was performed during the headache. It showed a left hemispheric hypoperfusion that did not correlate with the symptoms described by the patient. It is believed that during the aura, cerebral blood flow decreases, leading to hypoxia and decreased cellular energy generation, and these metabolic alterations define the symptoms of the patient. In our case, we documented brain hypoperfusion during the headache in the ipsilateral brain hemisphere to the symptoms, which has no clinical correlation. This condition could be due to spasm in the capillary arteries, and it may persist and influence the clinical manifestations during the headache phase in migraine with aura. A state of generalized cerebral hyperperfusion has been suggested, and there may be a coexistence of both phenomena for some period. This may open a new line of research regarding the pathophysiology and vascular changes of migraine with aura.Jacobo LesterJesús Carlos BustamanteCarla García-MorenoEnrique KlérigaKarger PublishersarticlemigraineauraperfusionNeurology. Diseases of the nervous systemRC346-429ENCase Reports in Neurology, Vol 13, Iss 3, Pp 672-676 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	migraine aura perfusion Neurology. Diseases of the nervous system RC346-429
spellingShingle	migraine aura perfusion Neurology. Diseases of the nervous system RC346-429 Jacobo Lester Jesús Carlos Bustamante Carla García-Moreno Enrique Klériga Atypical Perfusion Manifestation in Migraine with Aura
description	Migraine with aura may be confused with a stroke. Magnetic resonance imaging is an important tool for the differential diagnosis. Cerebral hypoperfusion has been described in classic migraine, mainly during the aura. A 47-year-old male had an unremarkable past medical history. After sneezing, he developed a left hemi hypoesthesia, bitemporal vision loss, photopsia, and some distortion in the position of letters and words. This lasted <1 h, and it was followed by a severe headache. A magnetic resonance angiography was performed during the headache. It showed a left hemispheric hypoperfusion that did not correlate with the symptoms described by the patient. It is believed that during the aura, cerebral blood flow decreases, leading to hypoxia and decreased cellular energy generation, and these metabolic alterations define the symptoms of the patient. In our case, we documented brain hypoperfusion during the headache in the ipsilateral brain hemisphere to the symptoms, which has no clinical correlation. This condition could be due to spasm in the capillary arteries, and it may persist and influence the clinical manifestations during the headache phase in migraine with aura. A state of generalized cerebral hyperperfusion has been suggested, and there may be a coexistence of both phenomena for some period. This may open a new line of research regarding the pathophysiology and vascular changes of migraine with aura.
format	article
author	Jacobo Lester Jesús Carlos Bustamante Carla García-Moreno Enrique Klériga
author_facet	Jacobo Lester Jesús Carlos Bustamante Carla García-Moreno Enrique Klériga
author_sort	Jacobo Lester
title	Atypical Perfusion Manifestation in Migraine with Aura
title_short	Atypical Perfusion Manifestation in Migraine with Aura
title_full	Atypical Perfusion Manifestation in Migraine with Aura
title_fullStr	Atypical Perfusion Manifestation in Migraine with Aura
title_full_unstemmed	Atypical Perfusion Manifestation in Migraine with Aura
title_sort	atypical perfusion manifestation in migraine with aura
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/63498cb52fb543618c0a041d9332d562
work_keys_str_mv	AT jacobolester atypicalperfusionmanifestationinmigrainewithaura AT jesuscarlosbustamante atypicalperfusionmanifestationinmigrainewithaura AT carlagarciamoreno atypicalperfusionmanifestationinmigrainewithaura AT enriquekleriga atypicalperfusionmanifestationinmigrainewithaura
_version_	1718439129499303936

Atypical Perfusion Manifestation in Migraine with Aura

Ejemplares similares