Migraine with aura after intracranial endovascular procedures.
OBJECTIVE
To describe three cases of migraine (two with aura) after an intracranial endovascular procedure. Method.-Retrospective.


RESULTS
One patient had an attack of migraine with prolonged aura after embolization of a dural arteriovenous fistula. Another patient had an attack of migraine with aura (and hemiparesis) after a diagnostic angiogram. The third patient already suffered from migraine with aura and had a migraine attack after embolization of an occipital arteriovenous malformation. A quadrantanopia persisted in this patient. Outcome of the other two patients was good.


CONCLUSIONS
Intracranial endovascular procedures can induce migraine with aura. We could not identify the underlying pathophysiological mechanism, but mechanical, chemical, immunological, or hemodynamic factors could be involved.
Beekman
R
R
Departments of Neurology, St. Elisabeth Hospital, Tilburg, The Netherlands; Radiology, St. Elisabeth Hospital, Tilburg, The Netherlands; Neurosurgery, St. Elisabeth Hospital, Tilburg, The Netherlands.
Nijssen
P C
PC
van Rooij
W J
WJ
Wijnalda
D
D
D000328:Adult; D002533:Cerebral Angiography / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000628:therapy; D008297:Male; D008875:Middle Aged; D020325:Migraine with Aura / Q000209:etiology*; D012189:Retrospective Studies