Arterial surgery for sporadic hemiplegic migraine: preliminary results.
My aim was to report for the first time (to my knowledge) the successful treatment of 3 patients with sporadic hemiplegic migraine by surgical cautery of terminal branches of the external carotid artery under conscious sedation. Since the operations (between 1 and 2 years) none of the patients have had further attacks of migraine or hemiplegia. This preliminary report suggests that for patients with sporadic hemiplegic migraine with a confirmed arterial component, surgical cautery of selected terminal branches of the external carotid artery may be effective treatment.
The Headache Clinic, 45 Empire Road, Parktown, 2193 Johannesburg, South Africa. Electronic address: drshevel@headclin.com.
Elliot
E
Shevel
D000328:Adult; D062026:Alice in Wonderland Syndrome / Q000601:surgery; D002342:Carotid Artery, External / Q000601:surgery*; D002425:Cautery / Q000379:methods; D016292:Procedural Sedation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020325:Migraine with Aura / Q000601:surgery*; D016896:Treatment Outcome
External carotid artery; Migraine surgery; Sporadic hemiplegic migraine; Vascular surgery