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Recurrent Wernicke's Aphasia: Migraine and Not Stroke!
Author(s) -
Mishra Nishant Kumar,
Rossetti Andrea O.,
Ménétrey André,
Carota Antonio
Publication year - 2009
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.1526-4610.2008.01255.x
Subject(s) - aphasia , migraine , stroke (engine) , etiology , cortical spreading depression , medicine , depression (economics) , audiology , psychology , electroencephalography , physical medicine and rehabilitation , psychiatry , mechanical engineering , engineering , economics , macroeconomics
We report the clinical findings of a 40‐year‐old woman with recurrent migraine presenting with Wernicke's aphasia in accordance with the results of a standardized battery for language assessment (Boston Aphasia Diagnostic Examination). The patient had no evidence of parenchymal or vascular lesions on MRI and showed delta and theta slowing over the left posterior temporal leads on the EEG. Although the acute onset of a fluent aphasia suggested stroke as a likely etiology, the recurrence of aphasia as the initial symptom of migraine was related to cortical spreading depression and not to stroke.