J Korean Neurol Assoc.
2014 Aug;32(3):178-181.
Migraine With Aura Presenting Reversible Delayed Perfusion
- Affiliations
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- 1Department of Neurology, Yeungnam University College of Medicine, Daegu, Korea. junleeluke@gmail.com
- 2Department of Neurology, Hallym University College of Medicine, Anyang, Korea.
Abstract
- It is believed that migrainous aura is correlated with cortical spreading depression and spreading benign oligemia. A 54-year-old female with migraine with aura presented with left hemianopia preceding pulsating headache. Perfusion-weighted images revealed delayed contrast arrival to the right occipital lobe and nearly normal relative cerebral blood volume images, indicating benign oligemia. Follow-up perfusion-weighted images revealed resolution of the perfusion abnormalities. We report herein a case of migraine with aura presenting with reversible delayed perfusion in the right occipital lobe on perfusion-weighted images.
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