A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system.
We describe the case of a patient with atypical hemiplegic migraine and associated basilar symptoms, where a large patent foramen ovale (PFO) and hypoplasia of basilar artery were found. The longer period of 4-year remission of the headache attacks was coincident with the percutaneous PFO closure. When 5 years after, hemiplegic migraine attacks relapsed, with more relevant basilar symptoms, a mild re-opening of PFO was found. The atypical presentation of attacks with basilar symptoms and prolonged hemiplegia does not strictly fit the diagnostic criteria of ICHD-II.
Department of Clinical Neurosciences, University of Palermo, Palermo, Italy. fbrighina@unipa.it
Filippo
F
Brighina
Giacomo
G
Gurgone
Rosa Maria
RM
Gaglio
Antonio
A
Palermo
Giuseppe
G
Cosentino
Brigida
B
Fierro
D000328:Adult; D000925:Anticoagulants; D001488:Basilar Artery / Q000002:abnormalities* / Q000473:pathology / Q000503:physiopathology; D001921:Brain / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology*; D006348:Cardiac Surgical Procedures; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D006429:Hemiplegia / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D020325:Migraine with Aura / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000150:complications* / Q000151:congenital / Q000503:physiopathology
D000925:Anticoagulants