Uncommon migraine subtypes and their relation to stroke

Panayiotis N. Varelas, Christine A.C. Wijman, Pierre B Fayad

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

BACKGROUND - For more than a century there has been debate as to whether migraine is related to stroke. The most recent headache classification recognizes migrainous infarction in patients with migraine with aura. Uncommon forms of migraine have a less clear relation to stroke. REVIEW SUMMARY - Ophthalmoplegic migraine is very rare, affecting mostly the third cranial nerve, and is a diagnosis of exclusion. Retinal migraine is also uncommon and may mimic embolic retinal infarcts. Basilar migraine very rarely leads to permanent deficits. Familial hemiplegic migraine is probably genetically related to cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy. A prominent feature of mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes is migrainous headache. CONCLUSIONS - Uncommon subtypes of migraine are occasionally encountered by the clinician. Other causes of neurologic deficits should first be sought. In the presence of a positive family history, genetic testing is available.

Original languageEnglish (US)
Pages (from-to)135-144
Number of pages10
JournalNeurologist
Volume5
Issue number3
DOIs
StatePublished - Jan 1 1999

Fingerprint

Migraine Disorders
Migraine with Aura
Stroke
Headache
Ophthalmoplegic Migraine
CADASIL
MELAS Syndrome
Oculomotor Nerve
Genetic Testing
Neurologic Manifestations
Infarction

Keywords

  • Basilar
  • CADASIL
  • Familial hemiplegic migraine
  • MELAS
  • Ophthalmoplegic
  • Retinal
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Uncommon migraine subtypes and their relation to stroke. / Varelas, Panayiotis N.; Wijman, Christine A.C.; Fayad, Pierre B.

In: Neurologist, Vol. 5, No. 3, 01.01.1999, p. 135-144.

Research output: Contribution to journalReview article

Varelas, Panayiotis N. ; Wijman, Christine A.C. ; Fayad, Pierre B. / Uncommon migraine subtypes and their relation to stroke. In: Neurologist. 1999 ; Vol. 5, No. 3. pp. 135-144.
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