Troost B T, Mark L E, Maroon J C
Ann Neurol. 1979 Feb;5(2):199-201. doi: 10.1002/ana.410050216.
A patient had a thirteen-year history of symptoms clinically indistinguishable from classic migraine: a slowly progressive visual fortification spectrum lasting 40 minutes, followed by a five- to six-hour throbbing unilateral headache with nausea and vomiting. After unsuccessful migraine therapy, investigation revealed a large occipital lobe arteriovenous malformation (AVM). Surgical removal of the AVM resulted in immediate and total resolution of all symptoms.
一名患者有13年的症状史，临床上与典型偏头痛难以区分：视觉先兆呈缓慢进展的锯齿状光谱，持续40分钟，随后是单侧搏动性头痛，伴有恶心和呕吐，持续5至6小时。偏头痛治疗失败后，检查发现一个巨大的枕叶动静脉畸形（AVM）。手术切除AVM后，所有症状立即完全消失。
