Migraine complications. Migrainous infarction: case report analysis

Authors

  • O.Ye. Dubenko Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine; Prof. Kazimiera Milanowska College of Education and Therapy, Poznan, Poland http://orcid.org/0000-0002-4911-5613
  • O.Yu. Havryushin Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine; Kharkiv City Clinical Hospital 7, Kharkiv, Ukraine
  • A.V. Zubkov Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine; Kharkiv City Clinical Hospital 7, Kharkiv, Ukraine
  • S.V. Yekimova Medical Centre “LORITOM”, Kharkiv, Ukraine
  • O.V. Kovtunov Medical Centre “LORITOM”, Kharkiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0713.16.6.2020.215142

Keywords:

migraine complications, migrainous infarction, case report

Abstract

Migraine is the most common type of headache and neurological disorder in the human population. Migraine is gene-rally considered a relatively benign neurological condition. However, the complication of migraine attacks occurred. Migrainous infarction is a rare complication of migraine. The diagnosis should meet the diagnostic criteria proposed by the International Classification of Headache Disorders, 3rd edition, 2018. The diagnosis of migrainous infarction is based on the abrupt onset of a neurologic deficit during a migraine attack associated with the cerebral infarction on neuroimaging. The migrainous infarction can be diagnosed in a patient with an established history of migraine and develops during a typical migraine attack. Other causes of stroke must be excluded. The studies demonstrate a higher risk of ischemic stroke in patients with migraine with aura, especially in younger women and often occurs in the posterior circulation. However, migrainous infarction can also occur in those with migraine without aura, although this is less common. The pathogenesis of migrainous infarction is still unclear but possible mechanism such as cortical spreading depolarization, arterial vasospasm, hemodynamic change is suggested. We are reporting 2 cases of migrainous infarction in young patients aged 32 and 36 years, respectively, after usual attacks without aura with documented neuroimaging findings in the posterior circulation.

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Published

2020-09-01

Issue

Section

To practicing Neurologist