Prolonged migraine aura without headache arrested by sumatriptan. A case report with further considerations.
The case of a 42-year-old woman with prolonged migraine visual aura without headache, whose long-lasting episodes of visual aura were successfully controlled by oral sumatriptan, is reported. Effectiveness of sumatriptan was unequivocal, since, after taking sumatriptan, duration of aura would drop from 1.5 h to approximately 20 min. This case suggests that sumatriptan may cross the blood-brain barrier and block spreading depression.
Kowacs
P A
PA
Departamento de Clínica Médica, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil. pak@cwb.palm.com.br
Piovesan
E J
EJ
Tatsui
C E
CE
Lange
M C
MC
Ribas
L C
LC
Werneck
L C
LC
D000328:Adult; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000188:drug therapy*; D017366:Serotonin Receptor Agonists / Q000627:therapeutic use*; D018170:Sumatriptan / Q000627:therapeutic use*; D013997:Time Factors; D016896:Treatment Outcome
D017366:Serotonin Receptor Agonists; D018170:Sumatriptan