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  • Title: A case of atypical sporadic hemiplegic migraine associated with PFO and hypoplasia of vertebro-basilar system.
    Author: Brighina F, Gurgone G, Gaglio RM, Palermo A, Cosentino G, Fierro B.
    Journal: J Headache Pain; 2009 Aug; 10(4):303-6. PubMed ID: 19421707.
    Abstract:
    We describe the case of a patient with atypical hemiplegic migraine and associated basilar symptoms, where a large patent foramen ovale (PFO) and hypoplasia of basilar artery were found. The longer period of 4-year remission of the headache attacks was coincident with the percutaneous PFO closure. When 5 years after, hemiplegic migraine attacks relapsed, with more relevant basilar symptoms, a mild re-opening of PFO was found. The atypical presentation of attacks with basilar symptoms and prolonged hemiplegia does not strictly fit the diagnostic criteria of ICHD-II.
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