scholarly journals Case Report: Migraine-Like Headache With Visual Aura Initiated by Endovascular Coiling Treatment for a Posterior Cerebral Artery Aneurysm

2021 ◽  
Vol 12 ◽  
Author(s):  
Xin Chen ◽  
Juan Zhang ◽  
Han-Li Li ◽  
Zi-Ru Deng ◽  
Long Wang ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Antiplatelet Agents ◽  
Causative Factor ◽  
Endovascular Coiling ◽  
Visual Aura ◽  
Headache Attack ◽  
Cerebral Artery Aneurysm

Cervical, anterior, and middle cerebral artery aneurysm is a causative factor for migraine, and endovascular treatment usually improves migraine headache. Posterior cerebral artery (PCA) aneurysm is a rare condition, and its association with migraine is very rarely reported. In addition, endovascular coiling treatment causing migraine-like headache has never been reported. Here, we describe a newly developed migraine-like headache with visual aura after endovascular coiling treatment for PCA aneurysm in a 31-year-old female patient. One month after the endovascular therapy, the patient stopped using the antiplatelet agents clopidogrel and aspirin and presented with an episodic headache attack twice a month with typical migraine features, including visual aura, right-sided temporal throbbing pain accompanied with nausea, vomiting, and photophobia. The recurrence of migraine-like headache with visual aura was terminated by clopidogrel administration. The generation of the migraine-like headache with visual aura is probably associated with microemboli due to endovascular coiling. This case supports the hypothesis that migraine with aura can be associated with microemboli of variant origins.

Failure of Combined Treatment for the Thrombosed Posterior Cerebral Artery Aneurysm

2010 ◽  
Vol 38 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Yasuo MURAI ◽  
Koji ADACHI ◽  
Yoichi YOSHIDA ◽  
Akira TERAMOTO ◽  
Takayuki MIZUNARI
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Combined Treatment ◽  
Artery Aneurysm ◽  
Cerebral Artery Aneurysm

De novo distal posterior cerebral artery aneurysm

2003 ◽  
Vol 60 (6) ◽  
pp. 534-539 ◽  
Author(s):  
Hiroyuki Yoshioka ◽  
Takuhiro Hotta ◽  
Eiji Taniguchi ◽  
Naomi Hashimoto ◽  
Yasuyuki Kinoshita ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
De Novo ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Cerebral Artery Aneurysm

scholarly journals Endovascular management of dissecting posterior cerebral artery aneurysm associated with persistent hypoglossal artery: A case report

2021 ◽  
Vol 20 ◽  
Author(s):  
Vivek Murumkar ◽  
Sameer Peer ◽  
Jitender Saini ◽  
Hanumanthapura Ramalingaiah Arvinda
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Stable Condition ◽  
Artery Aneurysm ◽  
Left Internal Carotid Artery ◽  
Persistent Hypoglossal Artery ◽  
Vertebral Arteries ◽  
Hypoglossal Artery ◽  
Guide Catheter ◽  
Cerebral Artery Aneurysm

Abstract Persistent embryological connections between the anterior and posterior circulations are rare entities. Persistent hypoglossal artery is the second most common persistent carotid-basilar anastomosis. As it is often associated with hypoplasia of vertebral arteries, it poses a challenge during endovascular interventions. We present a case of a 32-year-old woman who presented with occipital headache of four weeks’ duration. Magnetic Resonance Angiography showed hypoplastic vertebral arteries with a persistent hypoglossal artery arising from the cervical segment of the left internal carotid artery and supplying the entire posterior circulation, associated with a dissecting aneurysm of the right posterior cerebral artery. Endovascular parent vessel occlusion was performed for the dissecting posterior cerebral artery aneurysm by navigating the guide catheter, microwire, and microcatheter through the persistent hypoglossal artery because the vertebral arteries were hypoplastic. Post-intervention, the patient did not develop any neurological deficit and was discharged in a stable condition.

scholarly journals Temporal lobe seizures from a posterior cerebral artery aneurysm presenting as memory flashbacks

CJEM ◽  
2009 ◽  
Vol 11 (04) ◽  
pp. 389-392 ◽  
Author(s):  
Mohamed A. Peera ◽  
Michael LoCurto
Keyword(s):  
Temporal Lobe ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Unruptured Aneurysm ◽  
Psychiatric Condition ◽  
Temporal Lobe Seizures ◽  
Psychiatric Conditions ◽  
Cerebral Artery Aneurysm ◽  
With Memory

ABSTRACT Memory flashbacks are usually attributed to recreational drugs or psychiatric conditions. The differential diagnosis for memory flashbacks is diverse and challenging; moreover, management is influenced by the working diagnosis. We describe the case of a 35-year-old man who presented with memory flashbacks secondary to temporal lobe seizures from an unruptured aneurysm of the posterior cerebral artery. To our knowledge, a case of this nature has not been previously reported. This case demonstrates the need to recognize that, on rare occasions, a complaint of memory flashbacks can be the result of an organic etiology. We also discuss the challenging presentations of temporal lobe seizures, as they can easily be misdiagnosed as a psychiatric condition.

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