Department of Neurology, Bodrum American Hospital, Muğla, Türkiye.
Department of Radiology, Bodrum American Hospital, Muğla, Türkiye.
Agri. 2024 Jan;36(4):281-284. doi: 10.14744/agri.2022.79989.
Migrainous infarction is a rare complication of migraine that mostly occurs in the posterior circulation and in younger women, with an incidence of less than 1%. It is known that migraine, especially migraine with aura, is a risk factor for ischemic stroke in younger adults but not in the elderly. We report a 71-year-old male patient who experienced abnormal visions due to migraine headache and persistent aura, causing bilateral occipital infarcts. He has been suffering from migraine with aura since his adolescence. The frequency and severity of his attacks decreased with age. He has recently been diagnosed with hypertension as a vascular risk factor, in addition to migraine and advanced age. His symptoms have been brought under control with verapamil. Migrainous infarction can present itself at older ages without prominent vascular risk factors, and it can be managed with verapamil.
偏头痛性脑梗死是偏头痛的一种罕见并发症，主要发生在后循环，且多见于年轻女性，发病率低于 1%。已知偏头痛，尤其是有先兆的偏头痛，是年轻成年人发生缺血性卒中的危险因素，但不是老年人的危险因素。我们报告了一例 71 岁男性患者，因偏头痛性头痛和持续先兆导致双侧枕叶梗死。他从青春期开始就患有偏头痛伴先兆，其发作的频率和严重程度随年龄的增长而降低。他最近因高血压（血管危险因素）和偏头痛以及高龄被诊断为高血压。他的症状已通过维拉帕米得到控制。偏头痛性脑梗死可在无明显血管危险因素的情况下发生于老年患者，且可通过维拉帕米进行治疗。
