Migrainous cerebral infarction: a tomographic study of cerebral blood flow and oxygen extraction fraction with the oxygen-15 inhalation technique. | Zendy

M. G. Bousser | Zendy; JeanClaude Baron | Zendy; M T Iba-Zizen | Zendy; D. Comar | Zendy; E. Cabanis | Zendy; P Castaigne | Zendy

Open Access

Migrainous cerebral infarction: a tomographic study of cerebral blood flow and oxygen extraction fraction with the oxygen-15 inhalation technique.

Author(s) -

M. G. Bousser,

JeanClaude Baron,

M T Iba-Zizen,

D. Comar,

E. Cabanis,

P Castaigne

Publication year - 1980

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/01.str.11.2.145

Subject(s) - medicine , cerebral blood flow , inhalation , migraine , cerebral infarction , occipital lobe , anesthesia , cerebral angiography , blood flow , angiography , nuclear medicine , radiology , cardiology , ischemia

A patient with migraine who had a permanent visual field defect was studied by angiography and CT scan. He also had a tomographic study of cerebral blood flow (CBF) and oxygen extraction fraction (EO2) using the non-invasive continuous oxygen-15 (15O) inhalation technique. Angiography was normal. CT scan revealed an area of decreased density with contrast enhancement suggestive of a recent infarct in the left occipital lobe. The 15O inhalation technique showed a decrease in CBF and EO2, typical of recent infarcts, in the corresponding area, an increase in CBF with normal EO2 in the left temporal lobe, and a decrease in CBF with increased EO2 in the right occipital cortex. These findings illustrate the unusual nature and extent of the ischemic process underlying migrainous cerebral infarction.

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