Basilar-type migraine

@article{Kaniecki2009BasilartypeM,
  title={Basilar-type migraine},
  author={Robert G. Kaniecki},
  journal={Current Pain and Headache Reports},
  year={2009},
  volume={13},
  pages={217-220}
}
  • R. Kaniecki
  • Published 10 May 2009
  • Medicine, Psychology
  • Current Pain and Headache Reports
Initially described more than 40 years ago, basilar-type migraine has posed diagnostic and therapeutic dilemmas for medical practitioners. Defined by the coexistence of migraine headache with neurological symptoms emanating from either the brainstem or simultaneously from both cerebral hemispheres, basilar-type migraine has been categorized as “atypical” or “complicated” and has been considered more akin to hemiplegic migraine than to migraine with typical aura. Despite the absence of any data… 

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  • Psychology, Medicine
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TLDR
The incidence and different presentations of basilar migraine are described in a series of 132 children presenting with recurring headache considered to be migraine, and it is suggested that rigid definitions of migraine should be avoided.

Is Familial Hemiplegic Migraine a Hereditary form of Basilar Migraine?

TLDR
It is suggested that familial hemiplegic migraine and BM may share certain pathophysiologic mechanisms, which may consist of a (genetically determined) disturbance of basilar artery blood flow.

Basilar artery migraine. A review of 30 cases.

TLDR
Thirty patients with basilar artery migraine were followed up for a period of six months to three years with recurrent transient attacks of neurological disturbances localized to the vertebrobasilar arterial tree.

Basilar-type migraine

TLDR
There is no firm clinical, epidemiologic, or genetic evidence that BM is an independent disease entity different from MTA, and basilar-type aura seemingly may occur at times in any patient with migraine with typical aura.

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TLDR
The authors detected a novel mutation in the ATP1A2 gene (R548H) in members of a family with BM, suggesting that BM and FHM may be allelic disorders.

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TLDR
Patients with sporadic hemiplegic migraine had clinical symptoms identical to familial hemipLegic migraine and significantly different from migraine with typical aura, which is a separate entity.

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TLDR
Triptans seem to be safe and effective treatment for most hemiplegic migraine patients, and there were no pathological findings in several MRI‐scans.

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TLDR
The consequences of recent clinical data on migraine with aura for clinical practice and future research in the light of new diagnostic criteria are discussed.

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TLDR
A systematic search for familial cases of migraine with an aura that included motor weakness in the Danish population was performed in order to generate non-selected material of as many FHM cases as possible and to compare this material with already available population-based clinical descriptions of headache with typical aura (MA).

A Double‐Blind, Dose Comparison Study of Topiramate for Prophylaxis of Basilar‐Type Migraine in Children: A Pilot Study

Background.— Basilar‐type migraine (BM) is the most common migraine “variant,” representing 3‐19% of migraine in children.BMis characterized by attacks of dizziness, vertigo, visual disturbances,