Episodic coma due to acute basilar artery migraine: correlation of EEG and brainstem auditory evoked potential patterns.
Our patient presented with three episodes of deep coma in 5 weeks, followed by a complete recovery. The neuroradiological tests and spinal fluid analysis excluded structural lesions, including subarachnoid hemorrhage, from the diagnosis. A nonconvulsive status was excluded by 24-hour EEG monitoring. The EEGs and brainstem auditory evoked responses were abnormal during ictus, but they reversed to normal with the clinical recovery. Timely neurophysiological tests helped in the diagnosis of basilar artery migraine.
Ganji
S
S
EEG and Evoked Potential Laboratories, Terrebonne General Medical Center, Houma, LA 70361.
Hellman
S
S
Stagg
S
S
Furlow
J
J
D001488:Basilar Artery / Q000503:physiopathology*; D001933:Brain Stem / Q000503:physiopathology; D002540:Cerebral Cortex / Q000503:physiopathology; D003128:Coma / Q000503:physiopathology*; D004569:Electroencephalography; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000503:physiopathology*