Neurology II-Headache Centre, Department of Neuroscience, University of Turin, Via Cherasco 15-10126 Torino, Italy.
Cephalalgia. 2009 Jun;29(6):687-90. doi: 10.1111/j.1468-2982.2008.01803.x. Epub 2009 Feb 11.
Status migrainosus is a condition characterized by a migraine attack causing disability, with or without aura, lasting for > 72 h. The pathophysiological mechanisms underlying this complication of migraine remain a matter of debate. We describe a migraine without aura patient who presented two episodes of status migrainosus associated with recurrent and reversible brain magnetic resonance imaging abnormalities. These abnormalities, confirmed also by positron emission tomography, suggest that status migrainosus can be associated with a condition of vasogenic cerebral oedema.
状态性偏头痛是一种以偏头痛发作引起残疾为特征的疾病,无论有无先兆,持续时间>72 h。这种偏头痛的并发症的病理生理机制仍存在争议。我们描述了一位无先兆偏头痛患者,其出现了两次状态性偏头痛发作,伴有反复发作和可逆的脑磁共振成像异常。这些异常也通过正电子发射断层扫描得到证实,提示状态性偏头痛可能与血管源性脑水肿有关。