This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
MRI signal abnormalities, such as post-gadolinium T1W meningeal enhancement, cortical swelling, or FLAIR cortical hyperintensities, have been reported in patients with familiar hemiplegic migraine (FHM) and other forms of migraine with prolonged aura.1,2 We describe MRI abnormalities not reported before in migraine.
Case report.
A 22-year-old woman had numbness around the lips on the right side of her face that spread to the ipsilateral hand within 5 minutes and lasted for more than 1 hour. She had had migraine without aura for 9 years and no other past medical history. At the emergency room she had no headache and her neurologic examination disclosed right hemihypoesthesia involving the right side of her face and ipsilateral hand.
Although she did not have vascular risk factors, the acute stroke management protocol was triggered and an urgent MRI was performed. MRI did not show any abnormality on either DWI or PWI, and the MRA-TOF showed a slight asymmetry between both carotid siphons, with a weaker signal on the left side. After the MRI, her symptoms resolved completely and a throbbing left supraciliary headache appeared.
Although migraine with aura was the most likely diagnosis, a new MRI was performed to re-evaluate the carotid asymmetry in order to rule out an arterial dissection. …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
