Shin Dong-Jin, Kim Jong-Ho, Kang Sung-Soo
Department of Neurology, Gil Medical Center, Gachon Medical College, Inchon, South Korea.
Headache. 2002 Feb;42(2):132-5. doi: 10.1046/j.1526-4610.2002.02029.x.
Two patients who presented with ophthalmoplegic migraine underwent electroencephalography, brain magnetic resonance imaging, cerebral angiography, and technetium Tc 99m ethyl cysteinate dimer single photon emission computed tomography (SPECT) during an attack. Follow-up SPECT was performed after neurologic symptoms resolved. In both patients, SPECT during an attack of ophthalmoplegia and headache demonstrated significantly decreased regional cerebral blood flow (rCBF) in the thalamus on the side of the ophthalmoplegia; rCBF reverted to normal on a follow-up SPECT during the symptom-free period. These findings suggest reversible ischemia in the territories of perforating branches of the posterior cerebral artery may accompany ophthalmoplegic migraine and possibly bear some relationship to the clinical features.
两名表现为眼肌麻痹性偏头痛的患者在发作期间接受了脑电图、脑磁共振成像、脑血管造影以及锝 Tc 99m 半胱氨酸乙酯二聚体单光子发射计算机断层扫描（SPECT）检查。神经症状缓解后进行了随访 SPECT 检查。在两名患者中，眼肌麻痹和头痛发作期间的 SPECT 显示，眼肌麻痹侧丘脑的局部脑血流量（rCBF）显著降低；在无症状期的随访 SPECT 中，rCBF 恢复正常。这些发现表明，大脑后动脉穿支区域的可逆性缺血可能与眼肌麻痹性偏头痛伴发，并且可能与临床特征存在某种关系。
