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An Unusual Angiographic Picture in Status Migrainosus
Author(s) -
Schulman Elliott A.,
Hershey Beverly
Publication year - 1991
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.1526-4610.1991.hed3106396.x
Subject(s) - medicine , migraine , angiography , pathogenesis , incidence (geometry) , radiology , inflammation , cardiology , physics , optics
SYNOPSIS Arteriographic findings suggestive of inflammation are described in a 26‐year‐old woman presenting with headache and syncope. There were no clinical findings of angiitis, and a diagnosis of status migrainosus was eventually made. We present her case, as well as a review o previous cases of arterial changes in patients with headache. Most previous cases report arterial narrowing, felt to reflect spasm, whereas our patient demonstrated segmental stenoses and dilatations, perhaps implicating inflammation. The inflammatory process has been postulated as the pathogenesis of migraine pain. As most migraineurs do not undergo arteriography, the incidence of arterial change in these patients is unknown. This finding has therapeutic implications for selecting the optimal anti‐migraine agent.