An adolescent with complicated migraine.
During an evaluation for complicated migraine, a 14-year-old adolescent female was found to have a left frontoparietal cortical infarction on magnetic resonance imaging study. A transthoracic echocardiogram was normal, but a transesophageal echocardiogram, with contrast study, showed occasional right to left shunting through a patent foramen ovale. The role of cardiac anomalies in the pathogenesis of migraine-associated stroke is discussed.
Breningstall
G N
GN
Department of Pediatrics (Neurology), Park Nicollet Medical Center, Minneapolis, MN 55404, USA.
D000293:Adolescent; D001132:Arm; D002545:Brain Ischemia / Q000150:complications* / Q000175:diagnosis; D002540:Cerebral Cortex / Q000098:blood supply / Q000473:pathology; D004562:Electrocardiography; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007398:Interpersonal Relations; D008279:Magnetic Resonance Imaging; D008881:Migraine Disorders / Q000150:complications* / Q000175:diagnosis*; D010292:Paresthesia / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index