Migrainoid symptoms associated with intracranial vascular anomalies. A case report.

Abstract

Cerebral aneurysms and vascular accidents are frequently associated with migraine headaches.1-3While cerebral aneurysms are usually the cause of cranial nerve palsies occurring in patients with a migraine history,2other vascular anomalies in the cranium may also be responsible for the migrainous aura. It is the purpose of this paper to further document a vascular abnormality associated with migraine. The present case has several noteworthy features. First, the pattern of the headaches was limited to the distribution of the second division of the left trigeminal nerve. Second, a parieto-occipital arteriovenous abnormality was demonstrated, which would account for the visual symptoms. Third, 2 intracranial aneurysms were demonstrated, and last, a third intracranial aneurysm was postulated to explain the cephalalgia and third cranial nerve palsy. Report of Case A 43-year-old white unmarried woman was admitted to the hospital with a chief complaint of double vision for one week. The patient