title: New-onset migraine with aura after transcatheter closure of atrial septal defect.
abstract: Transcatheter closure of atrial septal defect (ASD) is associated with a high success rate and become an accepted alternative to surgical treatment. We describe here a case of a 35-year-old woman who presented with migraine attacks with aura after transcatheter closure of ASD with an Amplatzer septal occluder device. We postulate that any of the following may have been responsible for her condition: platelet activation on the surface of the device, nickel allergy, or the release of the atrial natriuretic peptide associated with the stretch of the atrial septum caused by the device. This case demonstrates that de novo migraine can occur after transcatheter closure of ASD and should be recognized as a potential complication.
authors.affiliation: Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan. yujik@saitama-med.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kato
authors.forename: Daisuke
authors.initials: D
authors.lastname: Furuya
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Ishido
authors.forename: Toshiki
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Norio
authors.initials: N
authors.lastname: Tanahashi
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D006801:Humans; D020325:Migraine with Aura / Q000209:etiology*; D011183:Postoperative Complications / Q000503:physiopathology*; D017585:Ultrasonography, Doppler, Transcranial