Moretti G, Manzoni G C, Terzano M G, Anelli M E
Acta Biomed Ateneo Parmense. 1981;52(1):59-65.
The unusual association of acute confusional states with migraine was observed in three adult women. This syndrome, which was previously studied in the content of juvenile migraine, seem to have the following distinctive features: a) sudden onset of confusion and agitation in the course of violent headache attacks; b) possible close relationship with neurological deficits, suggesting basilar migraine; c) demonstration of marked electroencephalographical abnormalities in either one or both posterior quadrants; d) tendency to a rapid recovery, on both clinical and electroencephalographical standpoint. Focal edema in the vertebrobasilar arterial territory appears to be the most likely mechanism.
在三名成年女性中观察到急性意识模糊状态与偏头痛的异常关联。这种综合征先前在青少年偏头痛的背景下进行过研究,似乎具有以下显著特征:a)在剧烈头痛发作过程中突然出现意识模糊和躁动;b)可能与神经功能缺损密切相关,提示基底型偏头痛;c)在一个或两个后象限显示明显的脑电图异常;d)从临床和脑电图角度看,有迅速恢复的趋势。椎基底动脉区域的局灶性水肿似乎是最可能的机制。