Mas J L, Baron J C, Bousser M G, Chiras J
Stroke. 1986 Sep-Oct;17(5):1019-21. doi: 10.1161/01.str.17.5.1019.
A man had since childhood recurrent attacks typical of ophthalmic migraine. After an otherwise unremarkable attack, he was left with a permanent quadrantanopsia due to a right occipital infarct. The remarkable pattern of progression, which characterized the visual phenomenon of subsequent attacks, favours a primary neuronal phenomenon. The first angiography revealed an occlusion of the posterior cerebral artery (PCA) but the second one, performed two years later, disclosed a PCA aneurysm. Such a finding emphasizes the need of thorough and repeated evaluations of patients with so-called "migrainous infarcts."
一名男性自幼反复发作典型的眼型偏头痛。在一次无其他异常的发作后，由于右侧枕叶梗死，他遗留了永久性象限盲。后续发作的视觉现象所具有的显著进展模式，提示为原发性神经元现象。首次血管造影显示大脑后动脉（PCA）闭塞，但两年后进行的第二次血管造影发现了一个PCA动脉瘤。这一发现强调了对所谓“偏头痛性梗死”患者进行全面且反复评估的必要性。
