期刊
CEPHALALGIA
卷 39, 期 2, 页码 323-325出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0333102418794481
关键词
Cerebral cortex; blood-brain barrier
Background Magnetic resonance imaging abnormalities in hemiplegic migraine have been described previously but were limited to a cortical thickening and biphasic alternation of hypoperfusion and hyperperfusion. Our report reveals possible blood-brain barrier disruption during migraine. Case We present the first demonstrated case of regressive diffuse hemispheric cortical enhancement in sporadic hemiplegic migraine, with histological correlation revealing neuronal lesions similar to ischemic lesions. This is probably due to the severity of the attack as indicated by the left hemiplegia and transient altered consciousness in our 43-year-old male patient. Conclusion Cortical contrast enhancement on 3D T1 images may suggest migraine severity and be predictive of neuronal loss.
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