Natalie E Parks 1 , Heather B Rigby 1 , Gordon J Gubitz 1 , Jai J Shankar 2 , R Allan Purdy 3 Show Affiliations »
Abstract
INTRODUCTION: Migrainous infarction accounts for 12.8% of ischemic strokes of unusual etiology. CASE REPORT: A 59-year-old woman with longstanding migraine with aura experienced what appeared to be migrainous infarction characterized by dysmetropsia and transient Cotard's syndrome. Imaging demonstrated right temporal-parietal-occipital changes with apparent cortical laminar necrosis. CONCLUSION: The spectrum of the pathophysiology of migrainous infarction has not been established; however, cortical spreading depression may explain the appearance of imaging findings that do not obey a vascular territory. © International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
INTRODUCTION: Migrainous infarction accounts for 12.8% of ischemic strokes of unusual etiology. CASE REPORT: A 59-year-old woman with longstanding migraine with aura experienced what appeared to be migrainous infarction characterized by dysmetropsia and transient Cotard's syndrome . Imaging demonstrated right temporal-parietal-occipital changes with apparent cortical laminar necrosis . CONCLUSION: The spectrum of the pathophysiology of migrainous infarction has not been established; however, cortical spreading depression may explain the appearance of imaging findings that do not obey a vascular territory. © International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
Entities: Disease
Species
Keywords:
Cortical spreading depression; Cotard’s syndrome; cortical laminar necrosis; dysmetropsia; migrainous infarction; persistent aura
Year: 2014
PMID： 24646835 DOI： 10.1177/0333102414520765
Source DB: PubMed Journal: Cephalalgia ISSN： 0333-1024 Impact factor: 6.292