Stroke, migraine and intracranial aneurysm: a case report.
A man had since childhood recurrent attacks typical of ophthalmic migraine. After an otherwise unremarkable attack, he was left with a permanent quadrantanopsia due to a right occipital infarct. The remarkable pattern of progression, which characterized the visual phenomenon of subsequent attacks, favours a primary neuronal phenomenon. The first angiography revealed an occlusion of the posterior cerebral artery (PCA) but the second one, performed two years later, disclosed a PCA aneurysm. Such a finding emphasizes the need of thorough and repeated evaluations of patients with so-called "migrainous infarcts."
D000328:Adult; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000150:complications*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D008784:Methysergide / Q000627:therapeutic use; D008881:Migraine Disorders / Q000150:complications* / Q000188:drug therapy
D008784:Methysergide