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CEREBRAL BLOOD CHANGES IN MIGRAINE
Published 1971 · Medicine
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A GREAT DEAL OF circumstantial evidence has accumulated over the years about the circulatory changes which occur during an attack of migraine. It is usually assumed that the aura stage of an attack is associated with vasoconstriction of the cerebral arteries and that the headache stage is associated with vasodilatation of the extracranial vessels; the evidence supporting this view has been summarized by Wolff.1 However, it has not been clear whether the vasoconstriction is a focal phenomenon, accounting for the particular symptoms associated with the aura, or a more generalized phenomenon; and whether the cerebral vasoconstriction continues into the headache stage, though this seems likely on the clinical evidence that prodromal symptoms often continue into the headache stage. This study was planned to clarify these points by simultaneous bilateral measurements of regional cerebral cortex perfusion rates during an attack of migraine using the 133Xenon inhalation method.
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