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Ischemic Stroke In Young Adults: The Relevance Of Migrainous Infarction

T. Sacquegna, A. Andreoli, Anna Baldrati, C. Lamieri, Susanna Guttmann, P. Carolis, G. Pasquale, G. Pinelli, C. Testa, E. Lugaresi
Published 1989 · Medicine

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Sixty-one consecutive patients, £40 years old, were hospitalized for cerebral infarction between 1977 and 1985. Evaluation included computed tomographic brain scan, arteriography, echocardiography, and blood tests. A probable migrainous infarction was diagnosed in six patients (10%) (all women with a history of migraine) who survived the initial stroke and were followed-up for an average of four years. In five patients the stroke occurred during a common migraine attack and in one patient during a classic migraine attack. The site of infarction was invariably the occipital lobe. During the follow-up, no subject had a further stroke. All six women had a permanent hemianopic deficit.
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