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.
|Numero di pagine||4|
|Rivista||THE JOURNAL OF HEADACHE AND PAIN|
|Stato di pubblicazione||Published - 2009|
All Science Journal Classification (ASJC) codes
- Clinical Neurology
- Anesthesiology and Pain Medicine
Brighina, F., Cosentino, G., Fierro, B., Gaglio, R. M., Gurgone, G., & Palermo, A. (2009). A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system. THE JOURNAL OF HEADACHE AND PAIN, 10, 303-306.