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The Non‐epileptiform Basilar Artery Migraine
Author(s) -
Jacome Daniel E.,
Risko Marlyn
Publication year - 1986
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 - 10.1111/j.1526-4610.1986.hed2609447.x
Subject(s) - ictal , migraine , electroencephalography , basilar artery , medicine , anesthesia , carbamazepine , cardiology , epilepsy , psychiatry
SYNOPSIS Five patients with basilar artery migraine (BAM) are described. One, while exhibiting electroencephalographic(EEG) interictal discharges and photo‐paroxysmal responses entirely suppressed by carbamazepine orvalproate, had no improvement of her attacks. Subsequent therapy with propanolol did improve the attacksdespite persistence of EEG abnormalities. A second patient had paroxysmal abnormalities and improved withisometheptene mucate. Three other patients had normal ictal and interictal EEGs, including after activationprocedures. A population of patients with basilar artery migraine exists with normal EEG recordings or withparoxysmal activity independent from that of migraine; these patients may respond to drugs other thananticonvulsants.