MELAS presenting as migraine complicated by stroke: case report |
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| Authors: | K Ohno E Isotani K Hirakawa |
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| Institution: | (1) Department of Neurosurgery, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113, Japan Tel. + 00 81 03-58 03-52 66; fax + 00 81 03-58 03-01 40, JP |
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| Abstract: | A case of MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) which presented as migraine
complicated by stroke is reported. Strokes associated with migraine have often been reported, but the mechanism remains unclear
and may include a variety of pathologies. MELAS also presents with migrainous headache, vomiting, and stroke-like symptoms.
Magnetic resonance imaging demonstrates characteristic findings. MELAS should be considered in the differential diagnosis
of infarct-like lesions with migrainous headaches in young adults, especially if the symptoms fluctuate and are accompanied
by a homonymous hemianopia.
Received: 23 September 1996 Accepted: 19 February 1997 |
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| Keywords: | MELAS Migraine Stroke Magnetic resonance imaging |
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