A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system

We describe the case of a patient with atypical hemiplegic migraine and associated basilar symptoms, where a large patent foramen ovale (PFO) and hypoplasia of basilar artery were found. The longer period of 4-year remission of the headache attacks was coincident with the percutaneous PFO closure. W...

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Detalles Bibliográficos
Autores principales: Brighina, Filippo, Gurgone, Giacomo, Gaglio, Rosa Maria, Palermo, Antonio, Cosentino, Giuseppe, Fierro, Brigida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3451752/
https://www.ncbi.nlm.nih.gov/pubmed/19421707
http://dx.doi.org/10.1007/s10194-009-0125-3
Descripción
Sumario:We describe the case of a patient with atypical hemiplegic migraine and associated basilar symptoms, where a large patent foramen ovale (PFO) and hypoplasia of basilar artery were found. The longer period of 4-year remission of the headache attacks was coincident with the percutaneous PFO closure. When 5 years after, hemiplegic migraine attacks relapsed, with more relevant basilar symptoms, a mild re-opening of PFO was found. The atypical presentation of attacks with basilar symptoms and prolonged hemiplegia does not strictly fit the diagnostic criteria of ICHD-II.

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