Zouitina Yassine, Terrier Mathilde, Hyra Marie, Seryer Djohar, Chillon Jean-Marc, Bugnicourt Jean-Marc
Department of Neurology, Amiens University Hospital, 1 Place Victor Pauchet, F-80054 Amiens cedex, France.
J Headache Pain. 2014 Jun 19;15(1):41. doi: 10.1186/1129-2377-15-41.
Transient visual disturbances constitute the most commonly reported neurological side effect during and immediately after sclerotherapy. A few studies, based on clinical and diffusion-weighted MRI assessments, have suggested that these transient neurological symptoms correspond to migraine with aura. Recently, it has been reported that brain magnetic resonance imaging can reveal transient T2*-weighted abnormalities during the acute phase of migraine with aura. We reported a 36-year-old man who presented with transient neurological symptoms and concomitant T2*-weighted abnormalities on brain magnetic resonance imaging immediately after liquid sclerotherapy. We hypothesize that the reversible nature of the patient's T2*-weighted abnormalities may indicate a relationship with the post-sclerotherapy migraine with aura attack.
短暂性视觉障碍是硬化治疗期间及治疗后即刻最常报告的神经学副作用。一些基于临床和弥散加权磁共振成像评估的研究表明，这些短暂性神经症状与伴先兆偏头痛相符。最近，有报道称脑磁共振成像可显示伴先兆偏头痛急性期的短暂性T2加权异常。我们报告了一名36岁男性，在液体硬化治疗后即刻出现短暂性神经症状，并在脑磁共振成像上伴有T2加权异常。我们推测患者T2*加权异常的可逆性可能表明与硬化治疗后伴先兆偏头痛发作有关。
