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.
Brighina, F., Gurgone, G., Gaglio, R.M., Palermo, A., Cosentino, G., Fierro, B. (2009). A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system. THE JOURNAL OF HEADACHE AND PAIN, 10(4), 303-306 [10.1007/s10194-009-0125-3].
A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system
BRIGHINA, Filippo;PALERMO, Antonio;COSENTINO, Giuseppe;FIERRO, Brigida
2009-01-01
Abstract
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.
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