Filipowicz A, Biernawska J, Jedrzejewska A, Slusarczyk R
Neurol Neurochir Pol. 1985 May-Jun;19(3):189-92.
The authors describe 3 children aged 12-15 years with severe basilar artery migraine. The follow-up was 2-3 years. In all cases attacks of throbbing headache occurred which showed varying intensity and lateralization in 2 cases. Only one child had always very strong right-sided headaches. The accompanying symptoms and signs were mostly from the area of vascularization of the basilar artery. In one child attacks of unconsciousness occurred additionally. The authors suggest that the symptoms and signs from brain-stem structures associated with attacks of headache may be due not only to construction of the basilar artery but may be due to a steal effect from certain regions of the brain stem in the phase of vasodilation, although the primary haemodynamic disturbance may not necessarily develop within the basilar artery system.
作者描述了3名年龄在12至15岁之间患有重度基底动脉型偏头痛的儿童。随访时间为2至3年。在所有病例中，均出现搏动性头痛发作，其中2例头痛强度和偏侧性各异。只有一名儿童始终有非常强烈的右侧头痛。伴随症状和体征大多来自基底动脉的供血区域。在一名儿童中还额外出现了意识丧失发作。作者认为，与头痛发作相关的脑干结构的症状和体征，可能不仅是由于基底动脉的收缩，还可能是由于在血管舒张期脑干某些区域的盗血效应，尽管原发性血流动力学紊乱不一定在基底动脉系统内发生。
