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Migraine with brainstem aura (basilar-type migraine)

Migraine with brainstem aura (basilar-type migraine)
Migraine with brainstem aura (MBA), previously called basilar-type migraine, is a rare form of migraine with aura wherein the primary signs and symptoms seem to ...

CACNA1A nonsense mutation is associated with basilar-type migraine and episodic ataxia type 2. A population-based study of familial hemiplegic migraine suggests revised diagnostic criteria. This topic will review the clinical manifestations, diagnosis, and treatment of MBA. The International Classification of Headache Disorders, 3rd edition (beta version). Cortical spreading depression is a self propagating wave of neuronal and glial depolarization that spreads across the cerebral cortex (see "Pathophysiology, clinical manifestations, and diagnosis of migraine in adults", section on 'Cortical spreading depression' ).

The disorder is now called migraine with brainstem aura [ ]. Topics in migraine management: a survey of headache specialists highlights some controversies. Most experts now consider MBA as a subset of migraine with aura, and its etiology rests in the theory that cortical spreading depression produces the aura. Another case was reported with reduced mean flow velocity in both posterior cerebral arteries during a single MBA episode with resolution after the aura [ ]. In truth, there is no evidence that the basilar artery is involved in the etiology of MBA, and abnormal flow in the basilar artery has never been proven in MBA.

Jensen TS, de Fine Olivarius B, Kraft M, Hansen HJ. The use of this website is governed by the Pearce JM. Lamotrigine versus placebo in the prophylaxis of migraine with and without aura. Locked-in syndrome with rapid recovery: a manifestation of basilar artery migraine? Headache 1983; 23:238. UpToDate synthesizes the most recent medical information into evidence-based practical recommendations that healthcare professionals trust to make the right point-of-care decisions. Despite these reports, it is unlikely that reversible ischemia is the source of the prolonged symptoms that occur with MBA. A double-blind, dose comparison study of topiramate for prophylaxis of basilar-type migraine in children: a pilot study. The difference between MBA and migraine with typical aura is that the location of the aura symptoms in MBA primarily involves the brainstem or the bilateral occipital hemispheres, whereas in typical migraine the aura symptoms are mainly restricted to a unilateral hemisphere. This evolution has occurred because there is no evidence that the basilar artery is involved, and because some of the symptoms may localize outside the territory of the basilar artery. For more information on subscription options, click below on the option that best describes you: The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment.

Migraine with brainstem aura (basilar-type migraine) - UpToDate
13 Sep 2017 ... Migraine with brainstem aura (MBA), previously called basilar-type migraine, is a rare form of migraine with aura wherein the primary signs and symptoms seem to originate from the ... Neurotologic findings in basilar migraine.

Neurotologic findings in basilar migraine. Goto F, Oishi N, Tsutsumi T, et al. Characteristic electroencephalographic findings by photic driving in...

Locked-in syndrome with rapid recovery: a manifestation of basilar artery migraine? Headache 1983; 23:238. The use of this website is governed by the Pearce JM. The Borderland of Epilepsy: Faints, vagal attacks, vertigo, sleep, symptoms, and their treatment, Churchill, London 1907. Each subsequent term attempted to maintain the identity of the disorder, while weakening the association with the basilar artery. Is familial hemiplegic migraine a hereditary form of basilar migraine? Cephalalgia 1995; 15:477.

Cortical spreading depression is a self propagating wave of neuronal and glial depolarization that spreads across the cerebral cortex (see "Pathophysiology, clinical manifestations, and diagnosis of migraine in adults", section on 'Cortical spreading depression' ). A population-based study of familial hemiplegic migraine suggests revised diagnostic criteria. Jensen TS, de Fine Olivarius B, Kraft M, Hansen HJ. Basilar artery migraine: transcranial Doppler EEG and SPECT from the aura phase to the end. The difference between MBA and migraine with typical aura is that the location of the aura symptoms in MBA primarily involves the brainstem or the bilateral occipital hemispheres, whereas in typical migraine the aura symptoms are mainly restricted to a unilateral hemisphere.

Triptans in the treatment of basilar migraine and migraine with prolonged aura. In a later publication, he acknowledged that he had "rather loosely termed" this condition basilar artery migraine [ ]. Familial basilar migraine associated with a new mutation in the ATP1A2 gene. Migraine with brainstem aura (MBA), previously called basilar-type migraine, is a rare form of migraine with aura wherein the primary signs and symptoms seem to originate from the brainstem, without evidence of weakness. Migraine with aura with onset in childhood and adolescence: long-term natural history and prognostic factors. Basilar artery migraine in a child: excellent response to propranolol. A double-blind, dose comparison study of topiramate for prophylaxis of basilar-type migraine in children: a pilot study. Lamotrigine versus placebo in the prophylaxis of migraine with and without aura. However, cortical spreading depression as the cause of altered local blood flow and metabolism in the brainstem has only been proven in animals [ Bickerstaff invoked the vascular hypothesis, the prevailing theory at the time, to explain the symptoms of "basilar artery migraine" that were referable to either the brainstem or the bioccipital hemispheres [ ].

Management of vestibular migraine - NCBI - NIH