Raynaud's Phenomenon Complicated by Recurrent Brain Infarction

Levy, Andrew P.; Kuritzky, Arieh; Salamon, F.; Aderka, Dan; Matz, Samantha; Zoldan, J.; Bechar, M; Pinkhas, J

doi:10.1111/j.1526-4610.1984.hed2405256.x

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…As the presence of retinopathy in the Dutch family does not tend to occur below 20 y, we may need to wait to see if retinopathy also becomes associated in this family. We also note in this case report the family history of ischaemic heart disease and glaucoma, both of which have been associated with Raynaud phenomena and migraine 6–8, although no genetic basis for these associations has as yet been found.…”

Section: Discussionmentioning

confidence: 63%

Raynaud phenomena and migraine in two children: Inclusion within a family of related disorders

Besser

Stern

2005

Acta Paediatrica

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Section: Discussionmentioning

confidence: 63%

Raynaud phenomena and migraine in two children: Inclusion within a family of related disorders

Besser

Stern

2005

Acta Paediatrica

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“…2 Reversible segmental vasoconstriction in both the carotid and vertebrobasilar territories has been shown in subarachnoid hemorrhage and migraine or of uncertain cause. 22 Evidence of cerebral, not just skin, hypoperfusion associated with RD includes de novo recurrent infarctions in a patient with RD and migraine with aura 12 and of cerebral oxygen desaturation after cardiopulmonary bypass in a patient with RD. 23 Single-photon emission computed tomographic analysis showed deterioration in preexisting cerebral perfusion defects in patients with secondary RP subjected to a cold stress test.…”

Section: Brainstem Ischemia Cerebral Vasospasm and Rpmentioning

confidence: 99%

Syncope and Raynaud’s Disease

Guiloff

Rajakulendran²,

Angus‐Leppan³

2012

Arch Neurol

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To investigate an association between syncope and Raynaud's disease (RD), its clinical features, and the effect of treatment with nifedipine. Design: One-year prospective study of new outpatients after 3 initial clinical observations. Setting: Neurology clinics at Chelsea and Westminster, Royal Free, Barnet, and Edgware Hospitals. Patients: Ten women and 1 man. The group had a mean (SD) age of 33 (17) years. Mean (SD) follow-up was 24 (36) months. Intervention: Treatment with nifedipine. Outcome Measures: Observed vs expected frequency of syncope in RD, temporal relation between syncope and Raynaud's phenomenon, clinical features, and response to nifedipine treatment. Results: Eight additional patients with syncope and RD were identified from 603 new patients (1.3%); we had expected only 1 patient to be identified with syncope and RD (P=.003). A chance association between RD and migraine with recurrent syncope was unlikely (P=.01). The prevalence of RD in patients with syncope with migraine was higher than expected (P=.03), but that of migraine in patients with RD was not (P = .2). All 11 patients had 5 or more syncopal episodes for a median of 2 years (range, 0.1-62 years). Three patients had previous diagnoses of nonepileptic attacks. Syncope was preceded by or contemporaneous with Raynaud's phenomenon in 10 patients (P = .02). Nine patients had migraine; headache was contemporaneous with syncope in 4 patients as expected by chance (P = 1.0). In all patients, syncope was preceded by brainstem or vertebrobasilar symptoms, and it ceased after treatment with nifedipine. Raynaud's disease and migraine improved less. Conclusions: The association of syncope to RD was unrelated to chance or migraine. The temporal relation between syncope and Raynaud's phenomenon but not headache was statistically significant. Treatment with nifedipine stopped recurrent syncope in all patients. Syncope related to RD may result from brainstem ischemia. Unexplained recurrent syncope should prompt screening for RD.

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