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Chapter 7.3 - Migraines and Migraine-Like Conditions

from 7 - Vasospastic Conditions and Other Vasculopathies

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
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Summary

Migraine is associated with a higher risk of cervical carotid artery disection than of non-cervical carotid artery dissection ischemic stroke and this risk is especially evident for migraine without aura. We present a 41 year old man with persistent pain localised on entire left side of the head. Migrainous features in the presentation included: unilateral pain, throbbing quality, accompanying nausea, and photophobia. His condition later deteriorated and he developed dysphagia. MRI showed clear hyperintensity in the left medullar area and DSA demonstrated a thrombotic stenosis and left vertebral artery dissection, which was effectively treated with coil embolization

Type
Chapter
Information
Rare Causes of Stroke
A Handbook
, pp. 305 - 308
Publisher: Cambridge University Press
Print publication year: 2022

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References

DeGiuli, V, Grassi, M, Lodigiani, C, et al. Association between migraine and cervical artery dissection: The Italian project on stroke in young adults. JAMA Neurol. 2017;74: 512.CrossRefGoogle Scholar
Metso, TM, Tatlisumak, T, Debette, S, et al. Migraine in cervical artery dissection and ischemic stroke patients. Neurology. 2012;78: 12211228.CrossRefGoogle ScholarPubMed
Rist, PM, Diener, H-C, Kurth, T, Schürks, M. Migraine, migraine aura, and cervical artery dissection: A systematic review and meta-analysis. Cephalalgia. 2011;31: 886896CrossRefGoogle ScholarPubMed

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