J Korean Neurol Assoc.  2014 Aug;32(3):178-181.

Migraine With Aura Presenting Reversible Delayed Perfusion

Affiliations
  • 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.

Keyword

Migraine; Perfusion-weighted image; Aura
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