title: Internal carotid occlusion associated with migraine syndrome: a case study of a 22-year-old female.
abstract: Migraine and migraine-like headaches are sometimes associated with acquired types of carotid artery disease. We examined a 22-year-old female suffering from periodic migraine, sometimes with "atypical" features. Color Flow Duplex Sonography revealed an occlusion of the right internal carotid artery (ICA) and a possible severe stenosis of the cervical segment of the left ICA. Digital Subtraction Angiography combined with Angio-Magnetic Resonance Imaging and Echographic Imaging suggested the possibility of a fibromuscular dysplasia involving both ICAs. It is suggested that some atypical features of headache could represent symptoms of a carotid pathology.
authors.affiliation: Autonomic Unit and Neurovascular Diagnostics, University of Pavia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Micieli
authors.forename: D
authors.initials: D
authors.lastname: Bosone
authors.forename: C
authors.initials: C
authors.lastname: Tassorelli
authors.forename: F
authors.initials: F
authors.lastname: Zappoli
authors.forename: A E
authors.initials: AE
authors.lastname: Castellano
authors.forename: G
authors.initials: G
authors.lastname: Nappi
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis*; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis*; D002343:Carotid Artery, Internal; D002941:Circle of Willis / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008881:Migraine Disorders / Q000175:diagnosis / Q000209:etiology*; D009333:Neck / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color