Migraine With Aura Presenting Reversible Delayed Perfusion

J Korean Neurol Assoc > Volume 32(3); 2014 > Article

Journal of the Korean Neurological Association 2014;32(3): 178-181.

가역적인 관류지연을 보인 조짐편두통

류성근, 주민경 a 노현두 권정임 이 준

영남대학교 의과대학 신경과학교실, 한림대학교 의과대학 신경과학교실 a

Migraine With Aura Presenting Reversible Delayed Perfusion

Sung Geun Ryu

Department of Neurology, Yeungnam University College of Medicine, Daegu, Korea, Department of Neurology a , Hallym University College of Medicine, Anyang, Korea

Abstract

It is believed that migrainous aura is correlated with cortical spreading depression and spreading benign oligemia. A 54-year-old female with migraine with aura presented with left hemianopia preceding pulsating headache. Perfusion-weighted images revealed delayed contrast arrival to the right occipital lobe and nearly normal relative cerebral blood volume images, indicating benign oligemia. Follow-up perfusion-weighted images revealed resolution of the perfusion abnormalities. We report herein a case of migraine with aura presenting with reversible delayed perfusion in the right occipital lobe on perfusion-weighted images. Key Words: Migraine, Perfusion-weighted image, Aura