Короткий опис (реферат):
Migraine is a chronic neurological disorder, characterized by recurrent headache attacks featuring
specifc clinical characteristics. Two-thirds of the migraineurs are women. It takes the second place among the world’s
causes of disability, and is one of the leading causes for direct and indirect government expenses. Migraine is well
known to be associated with cerebrovascular diseases, in particular with stroke. Due to the recent studies, the risk of
hemorrhagic stroke (HS) is 50% higher in between migraineurs in comparison to non-migraineurs, whereas only one
study showed association of migraine without aura (MwtA) with increased HS incidence.
Case presentation: We present a case of 57-year-old White woman, who is a 20-year migraine suferer admitted to
the hospital with the signs of migraineous stroke. Upon evaluation after she had contrast enhancing brain magnetic
resonance imaging (MRI), she was diagnosed with a neoplasm accompanied by a hemorrhage. However, the following magnetic resonance spectroscopy (MRS) as well as repeated contrast MRI did not prove the diagnosis. The patient
was treated for 10 days, and discharged with complete clinical improvement.
Conclusion: The presented case highlights the importance of the accurate evaluation of the patients, suspicious
of complicated migraine, even though sufering from MwtA, having no comorbidities and absent family history of
cerebrovascular diseases.
