Shuaib A
Clinical Investigative Stroke Unit, University Hospital, University of Saskatchewan, Saskatoon, Canada.
Stroke. 1991 Aug;22(8):1068-74. doi: 10.1161/01.str.22.8.1068.
There has been a recent increase in the number of studies dealing with migraine-stroke. I describe five patients in whom migraine-stroke was the clinical diagnosis but in whom the subsequent clinical events or autopsy showed a different mechanism for the cerebral infarction. Three patients had arterial dissection (one proven at autopsy), one had marantic endocarditis that had been missed on two echocardiograms (proven at autopsy), and one had generalized atherosclerosis and diabetes. These patients demonstrate that important and different etiologies may produce what seems to be the migraine-stroke syndrome. The result may be failure to recognize specific therapeutic measures that could have vitally important benefit to the patient.
最近，关于偏头痛性卒中的研究数量有所增加。我描述了5例患者，这些患者临床诊断为偏头痛性卒中，但随后的临床事件或尸检显示脑梗死的机制不同。3例患者存在动脉夹层（1例经尸检证实），1例有非细菌性血栓性心内膜炎，两次超声心动图检查均未发现（经尸检证实），还有1例有全身性动脉粥样硬化和糖尿病。这些患者表明，重要且不同的病因可能导致看似偏头痛性卒中综合征的情况。结果可能是未能识别出对患者可能具有至关重要益处的特定治疗措施。
