A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system
- Autori: Brighina, F; Gurgone, G; Gaglio, RM; Palermo, A; Cosentino, G; Fierro, B
- Anno di pubblicazione: 2009
- Tipologia: Articolo in rivista (Articolo in rivista)
- Parole Chiave: Migraine with aura; Hemiplegic migraine; PFO; Basilar type migraine; Vertebro-basilar system hypoplasia
- OA Link: http://hdl.handle.net/10447/55608
Abstract
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.