Fisher C M
Can J Neurol Sci. 1986 Feb;13(1):1-7. doi: 10.1017/s031716710003571x.
There is an unusual type of vascular episode in the territory of the posterior cerebral artery which remains relatively unknown. Ten cases are presented in which a posterior cerebral artery deficit developed suddenly in dramatic fashion with headache, visual symptoms, sensory and motor deficits and signs of third nerve involvement. Nine of the patients were female and one was male. Seven were under the age of 33. In all instances there was a permanent neurologic sequela, usually a hemianopia. A similar case was described in 1901. The nature of the underlying process remains obscure, but the evidence favors accompanied migraine in which a particularly severe attack results in permanent damage. The term "catastrophic migraine" is suggested.
大脑后动脉供血区域存在一种相对鲜为人知的特殊类型的血管性发作。本文报告了10例病例，这些病例中大脑后动脉供血区域突然出现严重的功能缺损，伴有头痛、视觉症状、感觉和运动功能缺损以及动眼神经受累的体征。9例患者为女性，1例为男性。7例患者年龄在33岁以下。所有病例均遗留永久性神经功能后遗症，通常为偏盲。1901年曾描述过类似病例。潜在病因的性质仍不明确，但证据支持其与偏头痛相关，即特别严重的发作导致了永久性损伤。建议使用“灾难性偏头痛”这一术语。
