Basilar-type migraine

  title={Basilar-type migraine},
  author={Robert G. Kaniecki},
  journal={Current Pain and Headache Reports},
  • 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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Clinical characteristics of basilar-type migraine in the neurological clinic of a university hospital.

Basilar-type migraine is an episodic disorder and occurred in 1.5% of patients with headache, and more than one-half of patients have their first attack in the second and third decade of life.

Headaches in Children

Pediatric headache is a common but underdiagnosed condition that can present differently in children than in adults and treatment focuses on biobehavioral modification and adapted use of standard adult medication management.

Migraine Associated Vertigo: A Common but Difficult-to-Define Disorder A specialist reviews the clinical features and differential diagnosis of this potentially under-recognized phenomenon.

Migraine associated vertigo is a common and probably under-recognized cause of episodic vertigo affecting about a third of all migraineurs and often results in a negative impact on quality of life and substantial utilization of medical resources.

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A systematic diagnostic evaluation including neuroimaging with assessment of intracranial and cervical vasculature, and the sellar and paranasal regions is recommended in every patient presenting with symptoms indicative of trigeminal autonomic cephalalgias for the first time.

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The actual knowledge about vestibular migraine (VM) is analyzed, focusing on the new concepts proposed by the International Classification of Headache Disorders 3-beta and by the Bárány Society and also addressing the former concepts, which are still present in clinical practice.

Migraine-Associated Vertigo: A Review of the Pathophysiology and Differential Diagnosis

In conclusion, migraine-associated vertigo is a global distinct disease entity that can be clinically distinguished from peripheral vestibular disorders.

Hiccups as a migraine aura

Hiccups can present as a primary aura symptom in patients with migraine, and series of patients who presented with hiccups as their migraine aura symptom are described.

Pontine capillary telangiectasia as visualized on MR imaging causing a clinical picture resembling basilar-type migraine: a case report

This case provides some evidence to suggest that pontine capillary telangiectasia might cause a clinical picture resembling basilar-type migraine.



Basilar Migraine in Childhood

  • J. Hockaday
  • Psychology, Medicine
    Developmental medicine and child neurology
  • 1979
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?

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.

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

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.

Familial basilar migraine associated with a new mutation in the ATP1A2 gene

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.

Evidence for a separate type of migraine with aura

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.

Treatment of hemiplegic migraine with triptans

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

Migraine with aura: new understanding from clinical epidemiologic studies

  • M. Kirchmann
  • Medicine, Psychology
    Current opinion in neurology
  • 2006
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.

A population-based study of familial hemiplegic migraine suggests revised diagnostic criteria.

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

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