Interactions between migraine and stroke

Weinberger, Jesse

doi:10.1007/s11940-006-0041-7

Cited by 6 publications

(4 citation statements)

References 33 publications

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“…This patient initially presented with infrequent episodes suggestive of hemiplegic migraine with aura but subsequently developed TIA and, finally, ischemic stroke. The relationship between initial hemiplegic migraine and ischemic stroke remains unclear [ 17 ]. Multiple head CT scans with and without contrast had been negative for stroke until the most recent event with prolonged neurological deficit when CT confirmed an ischemic stroke.…”

Section: Discussionmentioning

confidence: 99%

Transient Ischemic Attack and Ischemic Stroke in Danon Disease with Formation of Left Ventricular Apical Thrombus despite Normal Systolic Function

Tsuda

Shillingford

Vetter

et al. 2017

Case Reports in Pediatrics

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Danon disease is a rare X-linked dominant skeletal and cardiac muscle disorder presenting with hypertrophic cardiomyopathy, Wolf-Parkinson-White syndrome, skeletal myopathy, and mild intellectual disability. Early morbidity and mortality due to heart failure or sudden death are known in Danon disease, more in males than in females. Here, we present a 17-year-old female adolescent with Danon disease and severe concentric hypertrophy with normal left ventricular (LV) systolic function, who has been complaining of intermittent headache and weakness for about 3 years, initially diagnosed with hemiplegic migraine. Subsequently, her neurological manifestation progressed to transient ischemic attack (TIA) and eventually to ischemic stroke confirmed by CT scan with 1-day history of expressive aphasia followed by persistent left side weakness and numbness. Detailed echocardiogram for the first time revealed a small LV apical thrombus with unchanged severe biventricular hypertrophy and normal systolic function. This unexpected LV apical thrombus may be associated with a wide spectrum of neurological deficits ranging from TIA to ischemic stroke in Danon disease. Possibility of cerebral ischemic events should be suspected in Danon disease when presenting with neurological deficits even with normal systolic function. Careful assessment for LV apical thrombus is warranted in such cases.

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Section: Discussionmentioning

confidence: 99%

Transient Ischemic Attack and Ischemic Stroke in Danon Disease with Formation of Left Ventricular Apical Thrombus despite Normal Systolic Function

Tsuda

Shillingford

Vetter

et al. 2017

Case Reports in Pediatrics

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“…This avoidable delay contributes significantly in obtaining a poor outcome in treating patients. Meanwhile, hemiplegic and ocular varieties of migraine can also manifest as a stroke [4], but migraine usually has a recurrent stereotype presentation.…”

Section: Discussionmentioning

confidence: 99%

Methyl iodide poisoning presenting as a mimic of acute stroke: a case report

Nair

Chatterjee

2010

J Med Case Reports

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IntroductionStroke mimics are usually non-vascular disease processes. These raise the possibility of a stroke and are common in clinical practice. It is necessary to distinguish these mimics in order to provide early and appropriate management, as well as reduce possible harm on our patient.Case presentationWe report the case of a 50-year-old Caucasian man who developed symptoms suggestive of posterior circulation stroke after he was exposed to methyl iodide at his workplace. Results of stroke investigations of our patient were negative, and a detailed occupational history clinched the diagnosis. Acute presentation with a stroke-like picture is rare in cases of methyl iodide poisoning. We have attempted to discuss the differential diagnosis of stroke mimics through a review of literature.ConclusionStroke mimics are difficult to diagnose in an emergency room situation and may be initially treated as stroke. This case report underlines the importance of history taking, especially occupational history, in the differential diagnosis of stroke. We also stress the need to recognize mimics at presentation in order to arrive at an early and appropriate management of patients.

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“…Release of serotonin may also influence thrombus formation, although its role is still controversial (15–19). All other causes of ischaemia often occurring in patients with migraine, such as patent foramen ovale, lupus anticoagulant, cervical carotid dissection, arteriovenous malformation and hyperactivity of the clotting system (6,20,21), were excluded in the presented case.…”

Section: Discussionmentioning

confidence: 99%

Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report

Školoudík¹,

Král²,

Šaňák³

et al. 2009

Cephalalgia

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Authors report a case of young female suffering from the acute ischaemic stroke with right-sided hemiplegia, hemianopsia and hemihypoaesthesia during a migrainous attack without aura. Magnetic resonance imaging detected infarction in the left occipital lobe and occlusion of branches of the posterior cerebral artery (PCA). Combined treatment with systemic thrombolysis and sonothrombolysis was used, leading to the early PCA recanalization, and to a favourable clinical outcome after 1 month. Intravenous thrombolytic treatment administered within the therapeutic window may be useful in cerebral ischaemia associated with migraine when an arterial occlusion is documented.

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Interactions between migraine and stroke

Cited by 6 publications

References 33 publications

Transient Ischemic Attack and Ischemic Stroke in Danon Disease with Formation of Left Ventricular Apical Thrombus despite Normal Systolic Function

Transient Ischemic Attack and Ischemic Stroke in Danon Disease with Formation of Left Ventricular Apical Thrombus despite Normal Systolic Function

Methyl iodide poisoning presenting as a mimic of acute stroke: a case report

Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report

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