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Transient Sulcal Hyperintensities on Fluid‐Attenuated Inversion Recovery in Migraine With Aura
Authors:Kyung‐Wook Kang MD  Joon‐Tae Kim MD  PhD  Jane Chang BS  Won‐Ho Choi MD  Daekeon Lim MD  Dong‐Ho Bang MD  Yun Ju Choi MD
Affiliation:1. From the Department of Neurology, Cerebrovascular Center, Chonnam National University Medical School, Gwangju, Korea (K.‐W. Kang, Y.J. Choi, J.‐T. Kim, and J. Chang);2. Department of Neurology, Aerospace Medical Center, Republic of Korea Air Force, Choongbuk, Korea (K.‐W. Kang);3. Department of Cardiology, Aerospace Medical Center, Republic of Korea Air Force, Choongbuk, Korea (W.‐H. Choi);4. Department of Radiology, Aerospace Medical Center, Republic of Korea Air Force, Choongbuk, Korea (D. Lim and D.‐H. Bang).
Abstract:Migraine has been found to be associated with patent foramen ovale. However, in practice, it is difficult to show that microemboli via patent foramen ovale can induce a migraine attack. Our patient showed transient sulcal hyperintensities on fluid‐attenuated inversion recovery images during a migraine attack. This supports the hypothesis that microemboli via right‐to‐left shunt may induce migraine attacks through transient occlusion of microcirculation.
Keywords:sulcal hyperintensity  migraine with aura  right‐to‐left shunt  patent foramen ovale
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