Case Report Unruptured saccular aneurysm presenting migraine

Abstract

ABSTRACT. Headache can be attributed to cranial or cervical vascular disorders including ischemic stroke or transient ischemic attack, nontraumatic intracranial hemorrhage, unruptured vascular malformation, arteritis, carotid-vertebral artery pain, and cerebral venous thrombosis. Here, we present a case report of unruptured saccular aneurysm with migraine. The patient was a previously healthy 32-year-old man with repeated episodes of headache for 6 years. Findings for computed tomography and magnetic resonance imaging of the head were normal. Head magnetic resonance angiography revealed a small, nodule-like protuberance seen in the anterior communicating artery. Based on his clinical features and ancillary examinations, the patient was diagnosed with migraine without aura. The patient subsequently underwent digital subtraction angiography (DSA), which revealed a 2-mm cystic protuberance in the superoposterior anterior communicating artery. The patient underwent stent-assisted coil embolization of the aneurysm. Subsequent DSA results indicated no recurrence of aneurysm and no recurrence of headache was reported after surgical treatment.

Magnetic Resonance Images, Pathological Features of Thrombus, and Expression of NLRP Inflammasome in Patients with Acute Ischemic Stroke

“…MRI can detect early small lesions and exclude intracranial hemorrhage and other diseases; it is helpful for clinicians to evaluate the neurological impairment of patients and is of great significance to the early diagnosis, treatment, and prognosis of patients [12,13].…”

“…MRI can detect early small lesions and exclude intracranial hemorrhage and other diseases; it is helpful for clinicians to evaluate the neurological impairment of patients and is of great significance to the early diagnosis, treatment, and prognosis of patients [ 12 , 13 ]. The advantage of MRI in diagnosing AIS lies in that it is a multi-directional imaging technique so that small lesions can be observed in hard-to-find areas such as the brainstem.…”

Unruptured anterior communicating artery aneurysm presenting as depression: A case report and review of literature

“…However, it should be remembered that rarely unruptured intracranial aneurysms can cause other neurologic and neuropsychiatric symptoms and/or disorders. Other previously described unusual presentations of unruptured intracranial aneurysms include migraine without aura,[ 13 ] focal and generalized seizures,[ 4 9 ] frontal lobe syndrome,[ 1 ] and sudden vision loss[ 11 ] [ Table 1 ]. Treatment of an underlying aneurysm can alleviate these symptoms and improve patient's health status.…”

Case Report: Migraine-Like Headache With Visual Aura Initiated by Endovascular Coiling Treatment for a Posterior Cerebral Artery Aneurysm

“…For example, moyamoya disease has been recognized to be the cause of migraine-like headaches for long time (5), and carotid-cavernous fistula and dissections of intracranial and cervical arteries are reported to be the cause of migraine-like headaches (6,7). Another form of brain vascular alteration, cervical, anterior, and middle cerebral artery aneurysm, is also demonstrated to be associated with increased prevalence of migraine headaches with or without aura (8), and surgical treatment with either coil embolization or clipping relieved the recurrent headaches (9)(10)(11), indicating that cranial aneurysm is a causative factor of migraine. Posterior cerebral artery (PCA) aneurysm is a rare condition, and its association with migraine is rarely reported.…”