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Daily Migraine With Visual Aura Associated With an Occipital Arteriovenous Malformation
Author(s) -
Spierings Egilius L.H.
Publication year - 2001
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.2001.111006193.x
Subject(s) - aura , migraine , migraine with aura , occipital lobe , arteriovenous malformation , medicine , lesion , occipital region , anesthesia , anatomy , surgery , radiology
A 51‐year‐old woman with daily attacks of migraine with visual aura is described. The aura always occurred on the right and the headache always on the left side of the head, suggesting a structural lesion in the left occipital lobe. The lesion appeared to be an arteriovenous malformation of which almost full obliteration resulted in a decrease in frequency of the aura and in intensity of the headache. Subsequent treatment of borderline hypothyroidism with levothyroxine brought about a dramatic improvement in frequency of both the aura and the headache. The case is discussed in the light of our present understanding of the pathogenesis of the migraine attack.