Kimmerle’s anomaly is a rare and serious pathology of the 1st cervical vertebra, which may sometimes lead to hardly explicable changes in vertebrobasilar circulation. Also known as ponticulus posticus (PP), this phenomenon encircles the vertebral artery and suboccipital nerve and is associated with vertigo, vertebro-basilar insufficiency, neck pain, shoulder pain and cervicogenic headache sympt...

We describe three cases of extracranial vertebral artery dissection that are unusual in both their modes of presentation and their associations with other pathologic conditions. The first patient had Marfan's syndrome and migraine; his dissection was asymptomatic and was diagnosed by chance at the time of repeat angiography following a previous internal carotid artery dissection. The second pat...

Migraine is a common multifactorial, neurovascular disorder, typically presenting as recurrent disabling attacks of headache, lasting for 4 to 72 hours, associated with nausea, photophobia, phonophobia and transient neurological aura symptoms. WHO recognizes migraine together with quadriplegia, dementia and psychosis as one of the most disabling disorders (1, 2). For the treatment of acute migr...

Migrainous vertigo (MV) is one of the most common cause of episodic vertigo and is increasingly recognized among neurologist and migraine specialist. Although MV is not included currently in the classification of the International Headache Society (IHS), specific criteria has been proposed and utilized in clinical trials. The aim of this study is to evaluate clinical presentation, VEMP findings...

We report a rare case of benign paroxysmal vertigo (BPV) of childhood transitioning into basilar migraine (BM) that was effectively treated with lomerizine. A 6-year-old male visited our hospital complaining of repeated attacks of vertigo for 3 months. The patient's vertigo attacks lasted for several hours and were accompanied by nausea, vomiting, intense fear and loss of consciousness. No nyst...

There are several conflicting reports about the EEG of the migraineurs. In this study we report the ictal and interictal EEGs of 100 migraineurs, in comparison with control group. The range age for patient and control groups were 9-48 (mean: 26 ± 1.8) and 10-46 (mean: 23 ± 2.1) years respectively. 32% of the patients were less than 14 years old and the remaining 68% were more than 14 years. In ...

A retrospective study was performed in order to evaluate the frequency of abnormalities found by computed tomography (CT) scan of the head in 78 patients with migraine or tension-type headache. In the present study CT scan was normal in 61.5% of the patients with migraine or tension-type headache. A number of abnormalities were encountered in more than one third of the patients studied, includi...

abstract symptomatic basilar artery stenosis has a poor prognosis. surgical bypasses are technically demanding and of no proven benefit. a new generation of intravascular stents that are flexible enough to navigate the tortuosities of the vertebral artery may provide a new therapeutic approach. our two cases, 57 and 52 year-old men experienced a vertebrobasilar ischemia with repeated vertigo an...