title: Headache Rounds: Sudden, Transient Neurologic Symptoms in a Woman With Migraine.
abstract: The following article is a Graham Headache Center headache rounds presentation at the Brigham and Women's Faulkner Hospital by fellows Roni Sharon and Melissa Rayhill with special guest Tobias Kurth. It summarizes the case of a 36-year-old female with no history of migraine in the past, presenting with several transient neurological episodes associated with headache. Her history, symptoms, imaging workup is reviewed. Following the case is a discussion of the differential diagnosis for the patient's symptoms along with a review of the association of migraine with and without aura with vascular neurological insult such as stroke. The article also discusses the clinical implications of migraine as a risk factor for stroke along with possible treatment recommendations.
authors.affiliation: John R. Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Roni
authors.initials: R
authors.lastname: Sharon
authors.affiliation: John R. Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Rayhill
authors.affiliation: Inserm Research Center for Epidemiology and Biostatistics, Team Neuroepidemiology, F-33000, Bordeaux, France.|College of Health Sciences, University of Bordeaux, F-33000, Bordeaux, France.|Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Tobias
authors.initials: T
authors.lastname: Kurth
authors.affiliation: Chief, Division of Headache and Pain, Associate Professor of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Loder
mesh_terms: D000328:Adult; D001037:Aphasia / Q000209:etiology; D001927:Brain Diseases / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis; D008881:Migraine Disorders / Q000150:complications* / Q000175:diagnosis*; D009103:Multiple Sclerosis / Q000175:diagnosis; D012678:Sensation Disorders / Q000209:etiology; D020521:Stroke / Q000175:diagnosis
keywords: TIA; headache; migraine