Dolicho-vertebrobasilar abnormality and migraine-like attacks.
This is a study of two children with neuroradiologically diagnosed dolichobasilar anomaly: in both cases, the diagnosis was based on magnetic resonance imaging and magnetic resonance angiography findings. We examined the first child (R., aged 6 years and 8 months) following four episodes of intense pain in the left orbit, lasting between 10 and 30 min and accompanied by photophobia and vomiting. The second child (S., aged 9 years and 2 months), suffering from Marfan's syndrome, was examined following recurrent episodes of intense pain that started above the left orbit, moving to the homolateral orbit after a few minutes. These episodes, which lasted between 20 and 30 min, took place mainly at night and were accompanied by phono-photophobia and vomiting. In both cases, the pain attacks can be interpreted as a result of compression of the root of the trigeminal nerve caused by an arterial malformation.
Zambrino
C A
CA
Child Neuropsychiatry Division, 'C. Mondino Foundation' IRCCS, University of Pavia, Italy.mondino@cpbim1.unipv.it
Berardinelli
A
A
Martelli
A
A
Vercelli
P
P
Termine
C
C
Lanzi
G
G
D000927:Anticonvulsants / Q000627:therapeutic use; D001488:Basilar Artery / Q000002:abnormalities* / Q000473:pathology; D002220:Carbamazepine / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004108:Dilatation, Pathologic; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis; D006261:Headache / Q000209:etiology*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008382:Marfan Syndrome / Q000150:complications*; D008881:Migraine Disorders / Q000175:diagnosis*; D009408:Nerve Compression Syndromes / Q000209:etiology*; D011187:Posture; D012678:Sensation Disorders / Q000209:etiology*; D014276:Trigeminal Nerve / Q000503:physiopathology; D014711:Vertebral Artery / Q000002:abnormalities* / Q000473:pathology; D014839:Vomiting / Q000209:etiology*
D000927:Anticonvulsants; D002220:Carbamazepine