Bilateral posterior cerebral artery strokes in a young migraine sufferer. | Zendy

M Moen | Zendy; Steven R. Levine | Zendy; Daniel S. Newman | Zendy; A Dull-Baird | Zendy; Gregory G. Brown | Zendy; K.M.A. Welch | Zendy

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Bilateral posterior cerebral artery strokes in a young migraine sufferer.

Author(s) -

M Moen,

Steven R. Levine,

Daniel S. Newman,

A Dull-Baird,

Gregory G. Brown,

K.M.A. Welch

Publication year - 1988

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.19.4.525

Subject(s) - medicine , posterior cerebral artery , migraine , magnetic resonance imaging , stroke (engine) , cerebral arteries , cerebral infarction , cardiology , infarction , computed tomographic , anterior cerebral artery , radiology , middle cerebral artery , ischemia , computed tomography , mechanical engineering , myocardial infarction , engineering

We report a young migraine sufferer who developed bilateral posterior cerebral artery territory infarcts during the course of his classic migraines, the second of which was associated with intraluminal clot in the posterior cerebral artery. To our knowledge, bilateral posterior cerebral artery stroke from spontaneous migraine has not been reported. Head computed tomographic, magnetic resonance imaging, and angiographic correlation is presented. The mechanism of migrainous infarction may be in part explained by caliber changes in arterioles and capillaries leading to flow reduction in the more proximal conduit arteries combined with the associated coagulopathy that has been previously documented during migraine attacks.

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