Migraine with aura is one of the major subtypes of migraine, and can be associated with ischaemic brain infarction. Use of oral contraceptive pills (OCPs) increases the risk of infarction in this type of migraine. Seizures and migraine also have a complex relationship, one element of which is migrainetriggered seizures. We report a case of bilateral occipital lobe infarction and migraine-trigge...

Giant fusiform basilar aneurysms (dolicho-ectatic basilar anomalies) are rare and have not previously been reported to cause embolic infarction in territory distal to the aneurysm. They most commonly present as posterior fossa mass lesions with brainstem compression and cranial neuropathies. Originally considered atherosclerotic in etiology, recent authors feel that they may represent a unique ...

BACKGROUND AND PURPOSE In some people the blood supply to the posterior cerebral artery occurs partly or even exclusively via the carotid system. This anatomic configuration may influence the risk of occipital lobe infarction. We studied the presence and direction of flow in the posterior communicating artery (PCoA) in patients with an occipital lobe infarct and in healthy controls. METHODS F...

Patients with stable, homonymous hemianopia due to unilateral occipital infarcts and control subjects performed a task in which they judged whether or not an arrow was pointing at one of the dots in a pattern of dots they had recently seen in free vision, but was no longer visible. This task, as shown in prior studies as well as in the present one, involves the use of visual imagery. The patien...

OBJECTIVE To compare manual kinetic perimetry with tangent screen and Goldmann techniques and automated static perimetry with the Humphrey Field Analyzer in the detection and localization of occipital lobe lesions. DESIGN Prospective consecutive comparative case series. PARTICIPANTS Twelve patients with well-defined occipital lobe infarcts on magnetic resonance (MR) imaging were studied. ...

a greater tendency to sleep, being often abnormally drowsy, and he could only with difficulty be roused in the morning. In January 1884 he began to complain of frontal headache, which was aggravated by stooping or other movement, and by July it had become very severe. From this time, until the date of my first visit, headache had been almost continuous, was usually frontal, but was now sometime...

A 49-year-old woman was admitted to our hospital because of severe headache. She had a 10-month history of migraine with aura-like headache that occurred every 7 to 10 days and was preceded by photopsia. Brain CT showed cerebral infarction of the left occipital lobe. Bilateral carotid angiograms showed vascular occlusions in the supraclinoid portion of the bilateral internal carotid arteries wi...

We report the case of a woman presenting with changes on cerebral imaging a year and a half after a bi-thalamic (predominantly left-sided) infarction including lateral and medial thalamic nuclei. Lateral geniculate body and pulvinar were not damaged. Hypoperfusion was observed in left cortical and basal structures. White matter FLAIR hyperintense lesions occurred in the left hemisphere and the ...

The occurrence of secondary brain stem hemorrhage was studied in 435 autopsies from patients with recent cerebral hemorrhage, infarction or ruptured cerebral aneurysms. The frequency of secondary brain stem hemorrhage was found to be 45% in cerebral hemorrhage, 15% in cerebral infarction, and 36% in ruptured aneurysms. In the majority of cases the secondary brain stem hemorrhage occurred a few ...